Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| DRG Code | DRG Description | Category | Sub Category | DRG Group | Surgical Category | Case Mix Level | Total National Projected Hospitalizations - Annualized | Total Medicare Hospitalizations - Jan 2017 to Dec 2017 | Total Medicare Hospitalizations - Jan 2013 to Dec 2017 | Total Medicare Hospitalizations After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 694 | URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | Non Surgical | 86.96 | NA | 17,793 | 83,502 | 17,319 | ||||||||||||
| 693 | URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | Non Surgical | 13.04 | NA | 2,667 | 12,398 | 2,522 |
DEMOGRAPHIC DETAILS OF DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 15,486 | 87.03 |
| Black | 1,239 | 6.96 |
| Hispanic | 336 | 1.89 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 3,971 | 22.32 |
| 70 to 74 | 3,665 | 20.6 |
| Less than 65 | 3,362 | 18.9 |
TOP ICD DIAGNOSIS CODES FOR DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| N132 | Hydronephrosis with renal and ureteral calculous obstruction | 10,272 | 57.73 |
| Z87442 | Personal history of urinary calculi | 3,536 | 19.87 |
| N200 | Calculus of kidney | 1,859 | 10.45 |
TOP ICD PROCEDURE CODES FOR DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0T778DZ | Dilation of Left Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 4,501 | 25.3 |
| 0T768DZ | Dilation of Right Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic | 3,655 | 20.54 |
| BT1F1ZZ | Fluoroscopy of Left Kidney, Ureter and Bladder using Low Osmolar Contrast | 1,667 | 9.37 |
TOP HOSPITALS ASSOCIATED WITH DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 73 | 0.41 |
| Virtua Voorhees Hospital | 100 BOWMAN DR | Voorhees | NJ | 08043 | 64 | 0.36 |
| Yale New Haven Hospital | 20 YORK ST | New Haven | CT | 06504 | 54 | 0.3 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 16 | 0.09 |
| DR. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 14 | 0.08 |
| DR. ERNEST M BOVE | 145 ALLEN ST | RUTLAND | VT | 05701 | 14 | 0.08 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. STEVEN M ARISS | 4235 SECOR RD | TOLEDO | OH | 43623 | 17 | 0.1 |
| DR. GAINES WARDLAW HAMMOND | 2405 S CLEAR CREEK RD | KILLEEN | TX | 76549 | 16 | 0.09 |
| DR. JEFFREY CHARLES LAPEYROLERIE | 19250 BAGLEY RD | MIDDLEBURG HTS | OH | 44130 | 15 | 0.08 |
DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| Category | Sub Category | DRG Group | ICD Codes | ICD Description | National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - All) Jan 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 to Dec 2017 | Total Discharges After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | N132 | Hydronephrosis with renal and ureteral calculous obstruction | 54,531 | 10,272 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | I10 | Essential (primary) hypertension | 32,202 | 8,531 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | E785 | Hyperlipidemia, unspecified | 18,147 | 6,578 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | N179 | Acute kidney failure, unspecified | 18,406 | 6,288 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | Z87891 | Personal history of nicotine dependence | 9,643 | 4,257 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | K219 | Gastro-esophageal reflux disease without esophagitis | 9,902 | 3,874 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 8,155 | 3,823 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | Z87442 | Personal history of urinary calculi | 14,943 | 3,536 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | N390 | Urinary tract infection, site not specified | 15,151 | 3,353 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones Without Esw Lithotripsy | Z7982 | Long term (current) use of aspirin | 5,172 | 3,255 |