| V536 - Fitting and adjustment of urinary devices - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 14.71 | |
| 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 | ||
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 946: REHABILITATION WITHOUT 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 602,372 | ||||
| Total Hospitalizations with ICD V536 - Fitting and adjustment of urinary devices | 2,193 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD V536 - Fitting and adjustment of urinary devices in DRG | 33.37 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD V536 - Fitting and adjustment of urinary devices | 15.58 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | 18.77 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | 14.21 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD V536 - Fitting and adjustment of urinary devices | $44,251,809 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD V536 - Fitting and adjustment of urinary devices | $1,296 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD V536 - Fitting and adjustment of urinary devices | $20,179 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD V536 - Fitting and adjustment of urinary devices | $76,415,562 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD V536 - Fitting and adjustment of urinary devices | $34,845 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 22.98 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 16.78 |
| DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,391 | ||||
| Total Hospitalizations with ICD V536 - Fitting and adjustment of urinary devices | 159 | ||||
| DRG Share of Total Hospitalizations | 0.29 | ||||
| % of Total ICD V536 - Fitting and adjustment of urinary devices in DRG | 2.42 | ||||
| Avg LOS at DRG | 4.44 | ||||
| Avg LOS with ICD V536 - Fitting and adjustment of urinary devices | 3.96 | ||||
| Readmission Rate at DRG | 25.11 | ||||
| Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | 26.58 | ||||
| Unplanned Readmission Rate at DRG | 17.33 | ||||
| Unplanned Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | 22.15 | ||||
| Total Medicare payments at DRG | $440,473,524 | ||||
| Total Medicare payments with ICD V536 - Fitting and adjustment of urinary devices | $1,044,394 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD V536 - Fitting and adjustment of urinary devices | $1,658 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,736 | ||||
| Total Medicare payment per Hospitalization with ICD V536 - Fitting and adjustment of urinary devices | $6,569 | ||||
| Total Medicare Charges at DRG | $2,010,786,421 | ||||
| Total Medicare Charges with ICD V536 - Fitting and adjustment of urinary devices | $4,454,730 | ||||
| Avg Charges at DRG | $30,750 | ||||
| Avg Charges with ICD V536 - Fitting and adjustment of urinary devices | $28,017 | ||||
| Mortality Rate at DRG | 0.36 | ||||
| Mortality Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| SNF Discharge Rate at DRG | 19.61 | ||||
| SNF Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 25.79 | ||||
| Home Discharge Rate at DRG | 51.17 | ||||
| Home Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 40.88 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD V536 - Fitting and adjustment of urinary devices | 72 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD V536 - Fitting and adjustment of urinary devices in DRG | 1.1 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD V536 - Fitting and adjustment of urinary devices | 5.6 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | 21.21 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD V536 - Fitting and adjustment of urinary devices | $535,986 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD V536 - Fitting and adjustment of urinary devices | $1,330 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD V536 - Fitting and adjustment of urinary devices | $7,444 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD V536 - Fitting and adjustment of urinary devices | $1,567,871 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD V536 - Fitting and adjustment of urinary devices | $21,776 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 27.78 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 26.39 |
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,595 | ||||
| Total Hospitalizations with ICD V536 - Fitting and adjustment of urinary devices | 46 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD V536 - Fitting and adjustment of urinary devices in DRG | 0.7 | ||||
| Avg LOS at DRG | 3.34 | ||||
| Avg LOS with ICD V536 - Fitting and adjustment of urinary devices | 4.33 | ||||
| Readmission Rate at DRG | 17.47 | ||||
| Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| Total Medicare payments at DRG | $1,834,433,235 | ||||
| Total Medicare payments with ICD V536 - Fitting and adjustment of urinary devices | $311,631 | ||||
| Total Medicare payment per Day at DRG | $1,317 | ||||
| Total Medicare payment per Day with ICD V536 - Fitting and adjustment of urinary devices | $1,566 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,393 | ||||
| Total Medicare payment per Hospitalization with ICD V536 - Fitting and adjustment of urinary devices | $6,775 | ||||
| Total Medicare Charges at DRG | $9,558,780,965 | ||||
| Total Medicare Charges with ICD V536 - Fitting and adjustment of urinary devices | $1,049,089 | ||||
| Avg Charges at DRG | $22,890 | ||||
| Avg Charges with ICD V536 - Fitting and adjustment of urinary devices | $22,806 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| SNF Discharge Rate at DRG | 8.82 | ||||
| SNF Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | NA | ||||
| Home Discharge Rate at DRG | 73.03 | ||||
| Home Discharge Rate with ICD V536 - Fitting and adjustment of urinary devices | 45.65 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MONTGOMERY | 4465 NARROW LANE RD | MONTGOMERY | AL | 36116 | 222 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TOMS RIVER | 14 HOSPITAL DR | TOMS RIVER | NJ | 08755 | 194 |
| SUNNYVIEW REHABILITATION HOSPITAL | 1270 BELMONT AVENUE | SCHENECTADY | NY | 12308 | 174 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ALTAF AHMED | 4441 E LOHMAN AVE | LAS CRUCES | NM | 88011 | 53 |
| Dr. KIRK R ANDERSON | 306 RIVER BEND LN | PROVO | UT | 84604 | 45 |
| Dr. MARK STEVEN GORDON | 711 S COWLEY ST | SPOKANE | WA | 99202 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 220 |
| Dr. ALTAF AHMED | 4441 E LOHMAN AVE | LAS CRUCES | NM | 88011 | 105 |
| Dr. PAUL T. DIAMOND | 545 RAY C. HUNT DRIVE | CHARLOTTESVILLE | VA | 22903 | 62 |