Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 726: BENIGN PROSTATIC HYPERTROPHY 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | Non Surgical | 79.12 | NA | 2,960 | 15,486 | 2,888 | ||||||||||||
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | Non Surgical | 20.88 | NA | 781 | 3,500 | 751 |
DEMOGRAPHIC DETAILS OF DRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,362 | 79.8 |
| Black | 353 | 11.93 |
| Hispanic | 80 | 2.7 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 830 | 28.04 |
| 75 to 79 | 529 | 17.87 |
| 70 to 74 | 523 | 17.67 |
TOP ICD DIAGNOSIS CODES FOR DRG 726: BENIGN PROSTATIC HYPERTROPHY 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 |
|---|---|---|---|
| R3916 | Straining to void | 11 | 0.37 |
| N403 | Nodular prostate with lower urinary tract symptoms | NA | NA |
| 04111 | Methicillin susceptible Staphylococcus aureus in conditions classified elsewhere and of unspecified site | NA | NA |
TOP ICD PROCEDURE CODES FOR DRG 726: BENIGN PROSTATIC HYPERTROPHY 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 |
|---|---|---|---|
| 0T9B70Z | Drainage of Bladder with Drainage Device, Via Natural or Artificial Opening | 342 | 11.55 |
| 0TJB8ZZ | Inspection of Bladder, Via Natural or Artificial Opening Endoscopic | 126 | 4.26 |
| 0TCB8ZZ | Extirpation of Matter from Bladder, Via Natural or Artificial Opening Endoscopic | 118 | 3.99 |
TOP HOSPITALS ASSOCIATED WITH DRG 726: BENIGN PROSTATIC HYPERTROPHY 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 |
|---|---|---|---|---|---|---|
| Anne Arundel Medical Center | 2001 MEDICAL PARKWAY | Annapolis | MD | 21401 | 12 | 0.41 |
| Montefiore Medical Center | 111 E 210TH ST | Bronx | NY | 10467 | 11 | 0.37 |
| Long Island Jewish Medical Center | 270-05 76 AVE | New Hyde Park | NY | 11040 | NA | NA |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 726: BENIGN PROSTATIC HYPERTROPHY 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 | NA | NA |
| DR. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | NA | NA |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 726: BENIGN PROSTATIC HYPERTROPHY 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. JEFFREY CHARLES LAPEYROLERIE | 19250 BAGLEY RD | MIDDLEBURG HTS | OH | 44130 | NA | NA |
| DR. NELCAR GADRINAB | 2315 E 93RD ST | CHICAGO | IL | 60617 | NA | NA |
DRG 726: BENIGN PROSTATIC HYPERTROPHY 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 | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | N401 | Benign prostatic hyperplasia with lower urinary tract symptoms | 6,970 | 2,813 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | R338 | Other retention of urine | 4,879 | 2,004 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | I10 | Essential (primary) hypertension | 3,956 | 1,425 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | E785 | Hyperlipidemia, unspecified | 2,384 | 1,100 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | N179 | Acute kidney failure, unspecified | 2,337 | 967 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 1,666 | 889 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | N138 | Other obstructive and reflux uropathy | 2,086 | 880 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | Z87891 | Personal history of nicotine dependence | 1,487 | 834 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | R310 | Gross hematuria | 1,657 | 833 | |||||||||||||||||
| Urology | Benign Prostatic Hypertrophy | Benign Prostatic Hypertrophy | Z7982 | Long term (current) use of aspirin | 952 | 640 |