*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N209 - Urinary calculus, unspecified - as a primary diagnosis code | N209 - Urinary calculus, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.15 | |
| Readmission Rate (%) | 22.01 | |
| Unplanned Readmission Rate (%) | 11.76 | |
| 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 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 693: URINARY STONES WITHOUT ESW LITHOTRIPSY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 52,303 | |
| Total Hospitalizations with ICD N209 - Urinary calculus, unspecified | 73 | |
| DRG Share of Total Hospitalizations | 0.16 | |
| % of Total ICD N209 - Urinary calculus, unspecified in DRG | 65.77 | |
| Avg LOS at DRG | 2.4 | |
| Avg LOS with ICD N209 - Urinary calculus, unspecified | 2.89 | |
| Readmission Rate at DRG | 14.49 | |
| Readmission Rate with ICD N209 - Urinary calculus, unspecified | NA | |
| Unplanned Readmission Rate at DRG | 10.4 | |
| Unplanned Readmission Rate with ICD N209 - Urinary calculus, unspecified | NA | |
| Total Medicare payments at DRG | $214,183,417 | |
| Total Medicare payments with ICD N209 - Urinary calculus, unspecified | $369,030 | |
| Total Medicare payment per Day at DRG | $1,704 | |
| Total Medicare payment per Day with ICD N209 - Urinary calculus, unspecified | $1,749 | |
| Total Medicare payment per Hospitalization at DRG | $4,095 | |
| Total Medicare payment per Hospitalization with ICD N209 - Urinary calculus, unspecified | $5,055 | |
| Total Medicare Charges at DRG | $1,475,612,366 | |
| Total Medicare Charges with ICD N209 - Urinary calculus, unspecified | $1,456,875 | |
| Avg Charges at DRG | $28,213 | |
| Avg Charges with ICD N209 - Urinary calculus, unspecified | $19,957 | |
| Mortality Rate at DRG | 0.08 | |
| Mortality Rate with ICD N209 - Urinary calculus, unspecified | NA | |
| SNF Discharge Rate at DRG | 5.6 | |
| SNF Discharge Rate with ICD N209 - Urinary calculus, unspecified | NA | |
| Home Discharge Rate at DRG | 80.64 | |
| Home Discharge Rate with ICD N209 - Urinary calculus, unspecified | 78.08 |
*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 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 N209 - Urinary calculus, unspecified | 261 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N209 - Urinary calculus, unspecified in DRG | 9.38 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N209 - Urinary calculus, unspecified | 7.19 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N209 - Urinary calculus, unspecified | 27.35 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N209 - Urinary calculus, unspecified | 20.09 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N209 - Urinary calculus, unspecified | $2,977,144 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N209 - Urinary calculus, unspecified | $1,587 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N209 - Urinary calculus, unspecified | $11,407 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N209 - Urinary calculus, unspecified | $16,454,111 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N209 - Urinary calculus, unspecified | $63,043 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N209 - Urinary calculus, unspecified | 4.98 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N209 - Urinary calculus, unspecified | 29.89 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N209 - Urinary calculus, unspecified | 26.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD N209 - Urinary calculus, unspecified | 72 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N209 - Urinary calculus, unspecified in DRG | 2.59 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD N209 - Urinary calculus, unspecified | 5.53 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD N209 - Urinary calculus, unspecified | 26.47 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD N209 - Urinary calculus, unspecified | 20.59 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD N209 - Urinary calculus, unspecified | $488,530 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD N209 - Urinary calculus, unspecified | $1,227 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD N209 - Urinary calculus, unspecified | $6,785 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD N209 - Urinary calculus, unspecified | $3,389,878 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD N209 - Urinary calculus, unspecified | $47,082 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD N209 - Urinary calculus, unspecified | 30.56 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD N209 - Urinary calculus, unspecified | 27.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD N209 - Urinary calculus, unspecified | 42 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD N209 - Urinary calculus, unspecified in DRG | 1.51 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD N209 - Urinary calculus, unspecified | 3.88 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD N209 - Urinary calculus, unspecified | $257,067 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD N209 - Urinary calculus, unspecified | $1,577 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD N209 - Urinary calculus, unspecified | $6,121 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD N209 - Urinary calculus, unspecified | $1,298,682 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD N209 - Urinary calculus, unspecified | $30,921 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD N209 - Urinary calculus, unspecified | 57.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD N209 - Urinary calculus, unspecified | 29 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD N209 - Urinary calculus, unspecified in DRG | 1.04 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD N209 - Urinary calculus, unspecified | 5.1 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD N209 - Urinary calculus, unspecified | $258,075 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD N209 - Urinary calculus, unspecified | $1,744 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD N209 - Urinary calculus, unspecified | $8,899 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD N209 - Urinary calculus, unspecified | $1,258,424 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD N209 - Urinary calculus, unspecified | $43,394 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD N209 - Urinary calculus, unspecified | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD N209 - Urinary calculus, unspecified | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 25 |
| HEALTHSOUTH REHABILITATION HOSPITAL OF MIAMI | 20601 OLD CUTLER ROAD | MIAMI | FL | 33189 | 17 |
| MCLAREN FLINT | 401 S BALLENGER HWY | FLINT | MI | 48532 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOURDES NUNEZ | 12002 SW 128TH CT | MIAMI | FL | 33186 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | N390 | Urinary tract infection, site not specified |
| 2 | I10 | Essential (primary) hypertension |
| 3 | E785 | Hyperlipidemia, unspecified |