*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z906 - Acquired absence of other parts of urinary tract - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 17.1 | |
| 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 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z906 - Acquired absence of other parts of urinary tract | 1,975 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z906 - Acquired absence of other parts of urinary tract in DRG | 6.84 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z906 - Acquired absence of other parts of urinary tract | 6.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 28.53 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 19.83 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z906 - Acquired absence of other parts of urinary tract | $23,722,956 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z906 - Acquired absence of other parts of urinary tract | $1,942 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z906 - Acquired absence of other parts of urinary tract | $12,012 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $112,766,102 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $57,097 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 7.54 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 18.23 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 32.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 160,071 | ||||
| Total Hospitalizations with ICD Z906 - Acquired absence of other parts of urinary tract | 907 | ||||
| DRG Share of Total Hospitalizations | 0.49 | ||||
| % of Total ICD Z906 - Acquired absence of other parts of urinary tract in DRG | 3.14 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z906 - Acquired absence of other parts of urinary tract | 3.93 | ||||
| Readmission Rate at DRG | 18.99 | ||||
| Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 22.17 | ||||
| Unplanned Readmission Rate at DRG | 14.42 | ||||
| Unplanned Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 16.14 | ||||
| Total Medicare payments at DRG | $842,180,909 | ||||
| Total Medicare payments with ICD Z906 - Acquired absence of other parts of urinary tract | $5,240,601 | ||||
| Total Medicare payment per Day at DRG | $1,326 | ||||
| Total Medicare payment per Day with ICD Z906 - Acquired absence of other parts of urinary tract | $1,470 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,261 | ||||
| Total Medicare payment per Hospitalization with ICD Z906 - Acquired absence of other parts of urinary tract | $5,778 | ||||
| Total Medicare Charges at DRG | $4,464,635,942 | ||||
| Total Medicare Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $24,879,332 | ||||
| Avg Charges at DRG | $27,892 | ||||
| Avg Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $27,430 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD Z906 - Acquired absence of other parts of urinary tract | NA | ||||
| SNF Discharge Rate at DRG | 10.71 | ||||
| SNF Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 4.96 | ||||
| Home Discharge Rate at DRG | 66.6 | ||||
| Home Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 72.66 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 390: G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD Z906 - Acquired absence of other parts of urinary tract | 443 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z906 - Acquired absence of other parts of urinary tract in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD Z906 - Acquired absence of other parts of urinary tract | 5.72 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 32.18 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 24.26 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD Z906 - Acquired absence of other parts of urinary tract | $4,406,943 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD Z906 - Acquired absence of other parts of urinary tract | $1,738 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD Z906 - Acquired absence of other parts of urinary tract | $9,948 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $18,540,173 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $41,851 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 4.51 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 24.15 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 33.63 |
*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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z906 - Acquired absence of other parts of urinary tract | 309 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z906 - Acquired absence of other parts of urinary tract in DRG | 1.07 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z906 - Acquired absence of other parts of urinary tract | 3.06 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 13.29 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 6.31 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z906 - Acquired absence of other parts of urinary tract | $3,893,546 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z906 - Acquired absence of other parts of urinary tract | $4,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z906 - Acquired absence of other parts of urinary tract | $12,600 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $20,340,891 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z906 - Acquired absence of other parts of urinary tract | $65,828 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z906 - Acquired absence of other parts of urinary tract | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 32.04 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z906 - Acquired absence of other parts of urinary tract | 25.57 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 503 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 235 |
| FOX CHASE CANCER CENTER | 333 COTTMAN AVE | PHILADELPHIA | PA | 19111 | 183 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SIAMAK DANESHMAND | 1441 EASTLAKE AVE | LOS ANGELES | CA | 90089 | 21 |
| Dr. BERNARD H BOCHNER | 1275 YORK AVE | NEW YORK | NY | 10021 | 21 |
| Dr. GUIDO DALBAGNI | 1275 YORK AVE | NEW YORK | NY | 10021 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BERNARD H BOCHNER | 1275 YORK AVE | NEW YORK | NY | 10021 | 61 |
| Dr. GUIDO DALBAGNI | 1275 YORK AVE | NEW YORK | NY | 10021 | 59 |
| Dr. SIAMAK DANESHMAND | 1441 EASTLAKE AVE | LOS ANGELES | CA | 90089 | 41 |