*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | Total National Projected Hospitalizations - Annualized (Present on Admission - All) | Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | Total Medicare Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R8271 | Bacteriuria | 18.16 | |||||||||||||
| R8279 | Other abnormal findings on microbiological examination of urine | NA | |||||||||||||
| R827 | Abnormal findings on microbiological examination of urine | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| ICD Code | ICD Description | 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 Hospitalization after Exclusion | Avg. LOS | Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment Per Day | Payment Per Hospitalization | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R8271 | Bacteriuria | 5.66 | 22.96 | ||||||||||||||||
| R827 | Abnormal findings on microbiological examination of urine | 6.02 | 21.88 | ||||||||||||||||
| R8279 | Other abnormal findings on microbiological examination of urine | 6.33 | 25.52 |
*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 R827 - Abnormal findings on microbiological examination of urine | 19 |
| DRG Share of Total Hospitalizations | 0.07 |
| % of Total ICD R827 - Abnormal findings on microbiological examination of urine in DRG | 3.76 |
| Avg LOS at DRG | 2.84 |
| Avg LOS with ICD R827 - Abnormal findings on microbiological examination of urine | 2.84 |
| Readmission Rate at DRG | 20.27 |
| Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA |
| Unplanned Readmission Rate at DRG | 15.25 |
| Unplanned Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA |
| Total Medicare payments at DRG | $96,280,494 |
| Total Medicare payments with ICD R827 - Abnormal findings on microbiological examination of urine | $66,341 |
| Total Medicare payment per Day at DRG | $1,467 |
| Total Medicare payment per Day with ICD R827 - Abnormal findings on microbiological examination of urine | $1,229 |
| Total Medicare payment per Hospitalization at DRG | $4,161 |
| Total Medicare payment per Hospitalization with ICD R827 - Abnormal findings on microbiological examination of urine | $3,492 |
| Total Medicare Charges at DRG | $500,411,349 |
| Total Medicare Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $375,839 |
| Avg Charges at DRG | $21,624 |
| Avg Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $19,781 |
| Mortality Rate at DRG | 0.28 |
| Mortality Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA |
| SNF Discharge Rate at DRG | 15.28 |
| SNF Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA |
| Home Discharge Rate at DRG | 59.05 |
| Home Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R827 - Abnormal findings on microbiological examination of urine | 102 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R827 - Abnormal findings on microbiological examination of urine in DRG | 0.24 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R827 - Abnormal findings on microbiological examination of urine | 6.44 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 21.43 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 17.35 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R827 - Abnormal findings on microbiological examination of urine | $1,302,433 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R827 - Abnormal findings on microbiological examination of urine | $1,982 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R827 - Abnormal findings on microbiological examination of urine | $12,769 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $5,112,856 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $50,126 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 33.33 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 26.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 312: SYNCOPE AND COLLAPSE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 310,318 | ||||
| Total Hospitalizations with ICD R827 - Abnormal findings on microbiological examination of urine | 50 | ||||
| DRG Share of Total Hospitalizations | 0.94 | ||||
| % of Total ICD R827 - Abnormal findings on microbiological examination of urine in DRG | 0.12 | ||||
| Avg LOS at DRG | 3.19 | ||||
| Avg LOS with ICD R827 - Abnormal findings on microbiological examination of urine | 3.36 | ||||
| Readmission Rate at DRG | 20.19 | ||||
| Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 22.0 | ||||
| Unplanned Readmission Rate at DRG | 13.62 | ||||
| Unplanned Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| Total Medicare payments at DRG | $1,415,392,709 | ||||
| Total Medicare payments with ICD R827 - Abnormal findings on microbiological examination of urine | $259,371 | ||||
| Total Medicare payment per Day at DRG | $1,431 | ||||
| Total Medicare payment per Day with ICD R827 - Abnormal findings on microbiological examination of urine | $1,544 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,561 | ||||
| Total Medicare payment per Hospitalization with ICD R827 - Abnormal findings on microbiological examination of urine | $5,187 | ||||
| Total Medicare Charges at DRG | $7,113,640,596 | ||||
| Total Medicare Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $1,189,841 | ||||
| Avg Charges at DRG | $22,924 | ||||
| Avg Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $23,797 | ||||
| Mortality Rate at DRG | 0.63 | ||||
| Mortality Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| SNF Discharge Rate at DRG | 19.76 | ||||
| SNF Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 22.0 | ||||
| Home Discharge Rate at DRG | 50.47 | ||||
| Home Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 40.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 240,618 | ||||
| Total Hospitalizations with ICD R827 - Abnormal findings on microbiological examination of urine | 38 | ||||
| DRG Share of Total Hospitalizations | 0.73 | ||||
| % of Total ICD R827 - Abnormal findings on microbiological examination of urine in DRG | 0.09 | ||||
| Avg LOS at DRG | 4.81 | ||||
| Avg LOS with ICD R827 - Abnormal findings on microbiological examination of urine | 4.5 | ||||
| Readmission Rate at DRG | 26.3 | ||||
| Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| Unplanned Readmission Rate at DRG | 7.83 | ||||
| Unplanned Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| Total Medicare payments at DRG | $2,989,116,299 | ||||
| Total Medicare payments with ICD R827 - Abnormal findings on microbiological examination of urine | $461,048 | ||||
| Total Medicare payment per Day at DRG | $2,581 | ||||
| Total Medicare payment per Day with ICD R827 - Abnormal findings on microbiological examination of urine | $2,696 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,423 | ||||
| Total Medicare payment per Hospitalization with ICD R827 - Abnormal findings on microbiological examination of urine | $12,133 | ||||
| Total Medicare Charges at DRG | $15,603,027,471 | ||||
| Total Medicare Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $2,391,729 | ||||
| Avg Charges at DRG | $64,846 | ||||
| Avg Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $62,940 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| SNF Discharge Rate at DRG | 66.28 | ||||
| SNF Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 63.16 | ||||
| Home Discharge Rate at DRG | 3.84 | ||||
| Home Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD R827 - Abnormal findings on microbiological examination of urine | 36 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R827 - Abnormal findings on microbiological examination of urine in DRG | 0.08 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R827 - Abnormal findings on microbiological examination of urine | 4.11 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R827 - Abnormal findings on microbiological examination of urine | $206,513 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R827 - Abnormal findings on microbiological examination of urine | $1,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R827 - Abnormal findings on microbiological examination of urine | $5,736 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $1,010,028 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R827 - Abnormal findings on microbiological examination of urine | $28,056 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R827 - Abnormal findings on microbiological examination of urine | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 44.44 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R827 - Abnormal findings on microbiological examination of urine | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 54 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 51 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN C VELUZ | 12634 OLIVE BLVD | SAINT LOUIS | MO | 63141 | 11 |