*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z436 - Encounter for attention to other artificial openings of urinary tract - as a primary diagnosis code | Z436 - Encounter for attention to other artificial openings of urinary tract - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.99 | |
| Readmission Rate (%) | 28.35 | |
| Unplanned Readmission Rate (%) | 22.48 | |
| 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 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) | DRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 105,234 | ||||
| Total Hospitalizations with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 181 | ||||
| DRG Share of Total Hospitalizations | 0.32 | ||||
| % of Total ICD Z436 - Encounter for attention to other artificial openings of urinary tract in DRG | 49.86 | ||||
| Avg LOS at DRG | 4.18 | ||||
| Avg LOS with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 3.17 | ||||
| Readmission Rate at DRG | 24.62 | ||||
| Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 28.41 | ||||
| Unplanned Readmission Rate at DRG | 17.79 | ||||
| Unplanned Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 23.3 | ||||
| Total Medicare payments at DRG | $723,145,698 | ||||
| Total Medicare payments with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $1,328,079 | ||||
| Total Medicare payment per Day at DRG | $1,644 | ||||
| Total Medicare payment per Day with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $2,314 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,872 | ||||
| Total Medicare payment per Hospitalization with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $7,337 | ||||
| Total Medicare Charges at DRG | $3,557,869,598 | ||||
| Total Medicare Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $5,736,455 | ||||
| Avg Charges at DRG | $33,809 | ||||
| Avg Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $31,693 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | NA | ||||
| SNF Discharge Rate at DRG | 20.33 | ||||
| SNF Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 30.94 | ||||
| Home Discharge Rate at DRG | 48.52 | ||||
| Home Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 29.83 |
*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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 368 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z436 - Encounter for attention to other artificial openings of urinary tract in DRG | 5.57 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 11.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 30.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 22.78 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $6,523,282 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $1,500 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $17,726 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $31,169,029 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $84,698 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 7.61 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 31.52 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 14.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 215 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z436 - Encounter for attention to other artificial openings of urinary tract in DRG | 3.25 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 14.02 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 33.52 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 26.82 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $4,728,002 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $1,568 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $21,991 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $8,221,277 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $38,238 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 15.35 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 9.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,081 | ||||
| Total Hospitalizations with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 185 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD Z436 - Encounter for attention to other artificial openings of urinary tract in DRG | 2.8 | ||||
| Avg LOS at DRG | 4.55 | ||||
| Avg LOS with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 5.23 | ||||
| Readmission Rate at DRG | 19.43 | ||||
| Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 22.35 | ||||
| Unplanned Readmission Rate at DRG | 13.37 | ||||
| Unplanned Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 14.53 | ||||
| Total Medicare payments at DRG | $300,903,567 | ||||
| Total Medicare payments with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $2,530,095 | ||||
| Total Medicare payment per Day at DRG | $2,638 | ||||
| Total Medicare payment per Day with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $2,614 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,997 | ||||
| Total Medicare payment per Hospitalization with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $13,676 | ||||
| Total Medicare Charges at DRG | $1,564,169,935 | ||||
| Total Medicare Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $12,664,362 | ||||
| Avg Charges at DRG | $62,365 | ||||
| Avg Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $68,456 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | NA | ||||
| SNF Discharge Rate at DRG | 11.28 | ||||
| SNF Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 22.7 | ||||
| Home Discharge Rate at DRG | 65.31 | ||||
| Home Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 44.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,281 | ||||
| Total Hospitalizations with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 95 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD Z436 - Encounter for attention to other artificial openings of urinary tract in DRG | 1.44 | ||||
| Avg LOS at DRG | 12.68 | ||||
| Avg LOS with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 18.22 | ||||
| Readmission Rate at DRG | 21.82 | ||||
| Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 18.31 | ||||
| Unplanned Readmission Rate at DRG | 14.27 | ||||
| Unplanned Readmission Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 16.9 | ||||
| Total Medicare payments at DRG | $1,907,954,923 | ||||
| Total Medicare payments with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $2,457,092 | ||||
| Total Medicare payment per Day at DRG | $1,501 | ||||
| Total Medicare payment per Day with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,026 | ||||
| Total Medicare payment per Hospitalization with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $25,864 | ||||
| Total Medicare Charges at DRG | $5,940,453,690 | ||||
| Total Medicare Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $5,152,297 | ||||
| Avg Charges at DRG | $59,238 | ||||
| Avg Charges with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | $54,235 | ||||
| Mortality Rate at DRG | 2.33 | ||||
| Mortality Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | NA | ||||
| SNF Discharge Rate at DRG | 30.7 | ||||
| SNF Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | 25.26 | ||||
| Home Discharge Rate at DRG | 16.5 | ||||
| Home Discharge Rate with ICD Z436 - Encounter for attention to other artificial openings of urinary tract | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 557 |
| HEALTHSOUTH EAST VALLEY REHABILITATION HOSPITAL | 5652 EAST BASELINE ROAD | MESA | AZ | 85206 | 257 |
| REHABILITATION INSTITUTE OF CHICAGO | 345 E SUPERIOR ST | CHICAGO | IL | 60611 | 117 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 28 |
| Dr. KEVIN SCOTT OWENS | 1000 N OAK AVE | MARSHFIELD | WI | 54449 | 24 |
| Dr. KENNETH L SHAPIRO | 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 181 |
| Dr. BEVINS KINWOOD CHUE | 1669 W. HORIZON RIDGE PARKWAY | HENDERSON | NV | 89012 | 85 |
| Dr. ROBERT BOBEK ARASHAHI | 5652 E BASELINE RD | MESA | AZ | 85206 | 77 |