*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N289 - Disorder of kidney and ureter, unspecified - as a primary diagnosis code | N289 - Disorder of kidney and ureter, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.57 | |
| Readmission Rate (%) | 21.64 | |
| Unplanned Readmission Rate (%) | 11.96 | |
| 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 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD N289 - Disorder of kidney and ureter, unspecified | 1,685 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD N289 - Disorder of kidney and ureter, unspecified in DRG | 44.08 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD N289 - Disorder of kidney and ureter, unspecified | 3.6 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 21.84 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 13.73 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD N289 - Disorder of kidney and ureter, unspecified | $10,380,393 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD N289 - Disorder of kidney and ureter, unspecified | $1,709 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD N289 - Disorder of kidney and ureter, unspecified | $6,160 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $38,995,457 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $23,143 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD N289 - Disorder of kidney and ureter, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 24.15 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 44.09 |
*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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 11,960 | |
| Total Hospitalizations with ICD N289 - Disorder of kidney and ureter, unspecified | 50 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD N289 - Disorder of kidney and ureter, unspecified in DRG | 1.31 | |
| Avg LOS at DRG | 9.38 | |
| Avg LOS with ICD N289 - Disorder of kidney and ureter, unspecified | 7.28 | |
| Readmission Rate at DRG | 30.14 | |
| Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 20.05 | |
| Unplanned Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | NA | |
| Total Medicare payments at DRG | $290,494,146 | |
| Total Medicare payments with ICD N289 - Disorder of kidney and ureter, unspecified | $1,060,547 | |
| Total Medicare payment per Day at DRG | $2,591 | |
| Total Medicare payment per Day with ICD N289 - Disorder of kidney and ureter, unspecified | $2,914 | |
| Total Medicare payment per Hospitalization at DRG | $24,289 | |
| Total Medicare payment per Hospitalization with ICD N289 - Disorder of kidney and ureter, unspecified | $21,211 | |
| Total Medicare Charges at DRG | $1,326,600,046 | |
| Total Medicare Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $5,406,390 | |
| Avg Charges at DRG | $110,920 | |
| Avg Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $108,128 | |
| Mortality Rate at DRG | 2.7 | |
| Mortality Rate with ICD N289 - Disorder of kidney and ureter, unspecified | NA | |
| SNF Discharge Rate at DRG | 23.64 | |
| SNF Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | NA | |
| Home Discharge Rate at DRG | 39.98 | |
| Home Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 46.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 62 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 55 |
| NORTHWEST HOSPITAL CENTER | 5401 OLD COURT RD | RANDALLSTOWN | MD | 21133 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MALIK M. NAQI | 15260 NW 147TH DR | ALACHUA | FL | 32615 | 21 |
| Dr. SHANE CHARLES WILSON | 450 E SIGLER AVE | MEMPHIS | MO | 63555 | 12 |
| Dr. RICHARD J HELTON | 108 W OHIO | COALGATE | OK | 74538 | 12 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N289 - Disorder of kidney and ureter, unspecified | 17,222 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N289 - Disorder of kidney and ureter, unspecified in DRG | 4.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N289 - Disorder of kidney and ureter, unspecified | 6.04 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 22.15 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 15.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N289 - Disorder of kidney and ureter, unspecified | $198,232,257 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N289 - Disorder of kidney and ureter, unspecified | $1,904 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N289 - Disorder of kidney and ureter, unspecified | $11,510 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $929,982,771 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $54,000 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 11.33 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 27.04 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 26.01 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD N289 - Disorder of kidney and ureter, unspecified | 7,303 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD N289 - Disorder of kidney and ureter, unspecified in DRG | 2.08 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD N289 - Disorder of kidney and ureter, unspecified | 4.41 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 17.51 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 12.6 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD N289 - Disorder of kidney and ureter, unspecified | $48,111,490 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD N289 - Disorder of kidney and ureter, unspecified | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD N289 - Disorder of kidney and ureter, unspecified | $6,588 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $233,064,163 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $31,913 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 1.86 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 20.74 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 46.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD N289 - Disorder of kidney and ureter, unspecified | 5,700 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD N289 - Disorder of kidney and ureter, unspecified in DRG | 1.62 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD N289 - Disorder of kidney and ureter, unspecified | 13.68 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 16.6 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 11.5 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD N289 - Disorder of kidney and ureter, unspecified | $102,759,427 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD N289 - Disorder of kidney and ureter, unspecified | $1,318 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD N289 - Disorder of kidney and ureter, unspecified | $18,028 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $246,445,576 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $43,236 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 0.33 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 26.77 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 23.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 293: HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD N289 - Disorder of kidney and ureter, unspecified | 4,296 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD N289 - Disorder of kidney and ureter, unspecified in DRG | 1.22 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD N289 - Disorder of kidney and ureter, unspecified | 6.65 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 26.74 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 19.66 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD N289 - Disorder of kidney and ureter, unspecified | $43,137,808 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD N289 - Disorder of kidney and ureter, unspecified | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD N289 - Disorder of kidney and ureter, unspecified | $10,041 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $204,670,552 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD N289 - Disorder of kidney and ureter, unspecified | $47,642 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 7.12 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 20.23 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD N289 - Disorder of kidney and ureter, unspecified | 35.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEDICAL COLLEGE VIRGINIA HOSPITAL | 1250 E MARSHALL ST | RICHMOND | VA | 23298 | 2,806 |
| THE UNIVERSITY OF TENNESSEE MEDICAL CENTER | 1924 ALCOA HWY | KNOXVILLE | TN | 37920 | 1,755 |
| WELLSTAR KENNESTONE HOSPITAL | 677 CHURCH ST NE | MARIETTA | GA | 30060 | 1,680 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDITH NEBUWA ANIEDOBE | 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 113 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 90 |
| Dr. ANWAR WASSEL | 267 HILL RD | ROME | NY | 13441 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 699 |
| Dr. BRADLEY S MERRITT | 3131 TROUP HWY | TYLER | TX | 75701 | 365 |
| Dr. OLUFEMI O ODUNUSI | 209 COLLEGE ST | LAFAYETTE | TN | 37083 | 217 |