*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z466 - Encounter for fitting and adjustment of urinary device - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 16.04 | |
| 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD Z466 - Encounter for fitting and adjustment of urinary device | 638 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD Z466 - Encounter for fitting and adjustment of urinary device in DRG | 6.21 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD Z466 - Encounter for fitting and adjustment of urinary device | 14.18 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 13.18 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 10.02 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD Z466 - Encounter for fitting and adjustment of urinary device | $12,685,634 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD Z466 - Encounter for fitting and adjustment of urinary device | $1,403 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD Z466 - Encounter for fitting and adjustment of urinary device | $19,883 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $20,006,007 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $31,357 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 28.06 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 7.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD Z466 - Encounter for fitting and adjustment of urinary device | 332 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD Z466 - Encounter for fitting and adjustment of urinary device in DRG | 3.23 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD Z466 - Encounter for fitting and adjustment of urinary device | 5.37 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 23.73 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 17.41 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD Z466 - Encounter for fitting and adjustment of urinary device | $3,396,811 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD Z466 - Encounter for fitting and adjustment of urinary device | $1,904 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD Z466 - Encounter for fitting and adjustment of urinary device | $10,231 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $13,971,970 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $42,084 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | NA | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 34.64 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 24.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD Z466 - Encounter for fitting and adjustment of urinary device | 228 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD Z466 - Encounter for fitting and adjustment of urinary device in DRG | 2.22 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD Z466 - Encounter for fitting and adjustment of urinary device | 15.45 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 13.41 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 11.17 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD Z466 - Encounter for fitting and adjustment of urinary device | $4,814,701 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD Z466 - Encounter for fitting and adjustment of urinary device | $1,367 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD Z466 - Encounter for fitting and adjustment of urinary device | $21,117 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $8,566,269 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $37,571 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 29.39 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 8.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 052: SPINAL DISORDERS AND INJURIES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD Z466 - Encounter for fitting and adjustment of urinary device | 164 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD Z466 - Encounter for fitting and adjustment of urinary device in DRG | 1.6 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD Z466 - Encounter for fitting and adjustment of urinary device | 13.05 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 14.08 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 10.56 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD Z466 - Encounter for fitting and adjustment of urinary device | $3,177,833 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD Z466 - Encounter for fitting and adjustment of urinary device | $1,485 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD Z466 - Encounter for fitting and adjustment of urinary device | $19,377 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $5,331,246 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD Z466 - Encounter for fitting and adjustment of urinary device | $32,508 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 18.9 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD Z466 - Encounter for fitting and adjustment of urinary device | 18.29 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KESSLER INSTITUTE FOR REHABILITATION | 1199 PLEASANT VALLEY WAY | WEST ORANGE | NJ | 07052 | 398 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MONTGOMERY | 4465 NARROW LANE RD | MONTGOMERY | AL | 36116 | 363 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF LARGO | 901 CLEARWATER LARGO RD N | LARGO | FL | 33770 | 351 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. TALA'AT AL-SHUQAIRAT | 555 W SR 164 NORTH | SALEM | UT | 84653 | 148 |
| Dr. TROY LUNCEFORD | 555 W SR 164 NORTH | SALEM | UT | 84653 | 122 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 363 |
| Dr. TALA'AT AL-SHUQAIRAT | 555 W SR 164 NORTH | SALEM | UT | 84653 | 146 |
| Dr. TROY LUNCEFORD | 555 W SR 164 NORTH | SALEM | UT | 84653 | 136 |