*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87448 - Personal history of other diseases of urinary system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.48 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z87448 - Personal history of other diseases of urinary system | 371 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z87448 - Personal history of other diseases of urinary system in DRG | 4.73 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z87448 - Personal history of other diseases of urinary system | 2.47 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 6.84 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z87448 - Personal history of other diseases of urinary system | $4,445,741 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z87448 - Personal history of other diseases of urinary system | $4,848 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z87448 - Personal history of other diseases of urinary system | $11,983 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z87448 - Personal history of other diseases of urinary system | $21,634,067 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z87448 - Personal history of other diseases of urinary system | $58,313 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z87448 - Personal history of other diseases of urinary system | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 21.56 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 35.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD Z87448 - Personal history of other diseases of urinary system | 171 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD Z87448 - Personal history of other diseases of urinary system in DRG | 2.18 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD Z87448 - Personal history of other diseases of urinary system | 4.89 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 26.42 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 17.61 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD Z87448 - Personal history of other diseases of urinary system | $1,638,993 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD Z87448 - Personal history of other diseases of urinary system | $1,958 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD Z87448 - Personal history of other diseases of urinary system | $9,585 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD Z87448 - Personal history of other diseases of urinary system | $6,773,076 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD Z87448 - Personal history of other diseases of urinary system | $39,609 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD Z87448 - Personal history of other diseases of urinary system | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 16.37 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 45.03 |
*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 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD Z87448 - Personal history of other diseases of urinary system | 110 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD Z87448 - Personal history of other diseases of urinary system in DRG | 1.4 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD Z87448 - Personal history of other diseases of urinary system | 14.27 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 16.0 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 12.0 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD Z87448 - Personal history of other diseases of urinary system | $1,781,467 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD Z87448 - Personal history of other diseases of urinary system | $1,135 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD Z87448 - Personal history of other diseases of urinary system | $16,195 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD Z87448 - Personal history of other diseases of urinary system | $3,696,784 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD Z87448 - Personal history of other diseases of urinary system | $33,607 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD Z87448 - Personal history of other diseases of urinary system | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 38.18 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 19.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z87448 - Personal history of other diseases of urinary system | 86 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z87448 - Personal history of other diseases of urinary system in DRG | 1.1 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z87448 - Personal history of other diseases of urinary system | 3.98 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 21.52 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z87448 - Personal history of other diseases of urinary system | 15.19 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z87448 - Personal history of other diseases of urinary system | $523,527 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z87448 - Personal history of other diseases of urinary system | $1,531 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z87448 - Personal history of other diseases of urinary system | $6,088 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z87448 - Personal history of other diseases of urinary system | $1,863,567 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z87448 - Personal history of other diseases of urinary system | $21,669 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z87448 - Personal history of other diseases of urinary system | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | NA | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z87448 - Personal history of other diseases of urinary system | 43.02 |
| 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 | 307 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 201 |
| HEINZ REHAB HOSPITAL | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 188 |
| 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 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN A. KLINE | 150 MUNDY ST | WILKES BARRE | PA | 18702 | 150 |
| Dr. ROBERT R GAO | 229 N PECOS RD | HENDERSON | NV | 89074 | 109 |
| Dr. BEVINS KINWOOD CHUE | 1669 W. HORIZON RIDGE PARKWAY | HENDERSON | NV | 89012 | 43 |