*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.85 | |
| 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 652: KIDNEY TRANSPLANT | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 59 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system in DRG | 7.95 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 2.97 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 22.81 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $376,429 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $2,151 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $6,380 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $1,374,900 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $23,303 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 83.05 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 23 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system in DRG | 3.1 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 2.78 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $311,453 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $4,866 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $13,541 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $1,368,544 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $59,502 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 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 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 138,345 |
| Total Hospitalizations with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 12 |
| DRG Share of Total Hospitalizations | 0.42 |
| % of Total ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system in DRG | 1.62 |
| Avg LOS at DRG | 6.92 |
| Avg LOS with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | 5.25 |
| Readmission Rate at DRG | 32.2 |
| Readmission Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA |
| Unplanned Readmission Rate at DRG | 22.95 |
| Unplanned Readmission Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA |
| Total Medicare payments at DRG | $1,845,581,658 |
| Total Medicare payments with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $133,363 |
| Total Medicare payment per Day at DRG | $1,929 |
| Total Medicare payment per Day with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $2,117 |
| Total Medicare payment per Hospitalization at DRG | $13,340 |
| Total Medicare payment per Hospitalization with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $11,114 |
| Total Medicare Charges at DRG | $9,021,459,592 |
| Total Medicare Charges with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $639,480 |
| Avg Charges at DRG | $65,210 |
| Avg Charges with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | $53,290 |
| Mortality Rate at DRG | 5.29 |
| Mortality Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA |
| SNF Discharge Rate at DRG | 18.8 |
| SNF Discharge Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA |
| Home Discharge Rate at DRG | 39.78 |
| Home Discharge Rate with ICD Z87718 - Personal history of other specified (corrected) congenital malformations of genitourinary system | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| EL PASO CHILDREN'S HOSPITAL | 4845 ALAMEDA AVE | EL PASO | TX | 79905 | 42 |
| SEATTLE CHILDREN'S HOSPITAL | 4800 SAND POINT WAY NE | SEATTLE | WA | 98105 | 16 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GERMAN ANDRES LOZANO GUZMAN | 4801 ALBERTA AVE | EL PASO | TX | 79905 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ANGELICA CHAVEZ | 1600 S COULTER | AMARILLO | TX | 79106 | 15 |