*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R3129 - Other microscopic hematuria - as a primary diagnosis code | R3129 - Other microscopic hematuria - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.81 | |
| Readmission Rate (%) | 21.41 | |
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 23,141 |
| Total Hospitalizations with ICD R3129 - Other microscopic hematuria | 53 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD R3129 - Other microscopic hematuria in DRG | 80.3 |
| Avg LOS at DRG | 2.84 |
| Avg LOS with ICD R3129 - Other microscopic hematuria | 2.77 |
| Readmission Rate at DRG | 20.27 |
| Readmission Rate with ICD R3129 - Other microscopic hematuria | NA |
| Unplanned Readmission Rate at DRG | 15.25 |
| Unplanned Readmission Rate with ICD R3129 - Other microscopic hematuria | NA |
| Total Medicare payments at DRG | $96,280,494 |
| Total Medicare payments with ICD R3129 - Other microscopic hematuria | $240,096 |
| Total Medicare payment per Day at DRG | $1,467 |
| Total Medicare payment per Day with ICD R3129 - Other microscopic hematuria | $1,633 |
| Total Medicare payment per Hospitalization at DRG | $4,161 |
| Total Medicare payment per Hospitalization with ICD R3129 - Other microscopic hematuria | $4,530 |
| Total Medicare Charges at DRG | $500,411,349 |
| Total Medicare Charges with ICD R3129 - Other microscopic hematuria | $1,114,253 |
| Avg Charges at DRG | $21,624 |
| Avg Charges with ICD R3129 - Other microscopic hematuria | $21,024 |
| Mortality Rate at DRG | 0.28 |
| Mortality Rate with ICD R3129 - Other microscopic hematuria | NA |
| SNF Discharge Rate at DRG | 15.28 |
| SNF Discharge Rate with ICD R3129 - Other microscopic hematuria | 22.64 |
| Home Discharge Rate at DRG | 59.05 |
| Home Discharge Rate with ICD R3129 - Other microscopic hematuria | 58.49 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R3129 - Other microscopic hematuria | 2,759 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R3129 - Other microscopic hematuria in DRG | 7.68 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R3129 - Other microscopic hematuria | 6.41 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R3129 - Other microscopic hematuria | 22.24 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R3129 - Other microscopic hematuria | 15.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R3129 - Other microscopic hematuria | $31,819,732 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R3129 - Other microscopic hematuria | $1,800 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R3129 - Other microscopic hematuria | $11,533 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R3129 - Other microscopic hematuria | $164,840,969 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R3129 - Other microscopic hematuria | $59,747 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R3129 - Other microscopic hematuria | 5.22 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R3129 - Other microscopic hematuria | 27.55 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R3129 - Other microscopic hematuria | 32.44 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD R3129 - Other microscopic hematuria | 859 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R3129 - Other microscopic hematuria in DRG | 2.39 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD R3129 - Other microscopic hematuria | 6.81 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD R3129 - Other microscopic hematuria | 24.22 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD R3129 - Other microscopic hematuria | 17.49 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD R3129 - Other microscopic hematuria | $8,362,360 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD R3129 - Other microscopic hematuria | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD R3129 - Other microscopic hematuria | $9,735 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD R3129 - Other microscopic hematuria | $46,995,666 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD R3129 - Other microscopic hematuria | $54,710 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD R3129 - Other microscopic hematuria | 3.38 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD R3129 - Other microscopic hematuria | 32.36 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD R3129 - Other microscopic hematuria | 29.34 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD R3129 - Other microscopic hematuria | 539 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD R3129 - Other microscopic hematuria in DRG | 1.5 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD R3129 - Other microscopic hematuria | 5.44 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD R3129 - Other microscopic hematuria | 17.39 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD R3129 - Other microscopic hematuria | 11.46 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD R3129 - Other microscopic hematuria | $4,538,291 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD R3129 - Other microscopic hematuria | $1,547 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD R3129 - Other microscopic hematuria | $8,420 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD R3129 - Other microscopic hematuria | $24,725,948 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD R3129 - Other microscopic hematuria | $45,874 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD R3129 - Other microscopic hematuria | 2.04 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD R3129 - Other microscopic hematuria | 29.31 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD R3129 - Other microscopic hematuria | 36.55 |
*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 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R3129 - Other microscopic hematuria | 386 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R3129 - Other microscopic hematuria in DRG | 1.08 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R3129 - Other microscopic hematuria | 5.82 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R3129 - Other microscopic hematuria | 25.14 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R3129 - Other microscopic hematuria | 16.95 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R3129 - Other microscopic hematuria | $3,456,016 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R3129 - Other microscopic hematuria | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R3129 - Other microscopic hematuria | $8,953 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R3129 - Other microscopic hematuria | $17,366,786 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R3129 - Other microscopic hematuria | $44,992 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R3129 - Other microscopic hematuria | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R3129 - Other microscopic hematuria | 21.5 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R3129 - Other microscopic hematuria | 41.19 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATLANTICARE REGIONAL MEDICAL CENTER - MAINLAND CAMPUS | 65 W JIMMIE LEEDS RD | POMONA | NJ | 08240 | 228 |
| CITRUS MEMORIAL HOSPITAL | 502 W HIGHLAND BLVD | INVERNESS | FL | 34452 | 212 |
| STORMONT VAIL HOSPITAL | 1500 SW 10TH AVE | TOPEKA | KS | 66604 | 211 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 36 |
| Dr. FABIO RAMIRO OROZCO | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 27 |
| Dr. SUNGHYE JENNY KANG | 2200 W HIGGINS RD | HOFFMAN ESTATES | IL | 60169 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GHULAM MUSTAFA ANWAR | 10250 SE 167TH PLACE RD | SUMMERFIELD | FL | 34491 | 139 |
| Dr. NISHA ANN SHENAI | 18550 US HIGHWAY 441 | MOUNT DORA | FL | 32757 | 56 |
| Dr. HEMANT KUMAR SINHA | 35772 US HIGHWAY 231 | ASHVILLE | AL | 35953 | 46 |