*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z87442 - Personal history of urinary calculi - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.51 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD Z87442 - Personal history of urinary calculi | 23,644 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD Z87442 - Personal history of urinary calculi in DRG | 5.4 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD Z87442 - Personal history of urinary calculi | 2.33 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 7.67 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 3.24 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD Z87442 - Personal history of urinary calculi | $266,072,837 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD Z87442 - Personal history of urinary calculi | $4,821 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD Z87442 - Personal history of urinary calculi | $11,253 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD Z87442 - Personal history of urinary calculi | $1,393,521,116 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD Z87442 - Personal history of urinary calculi | $58,938 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD Z87442 - Personal history of urinary calculi | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 19.73 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 30.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD Z87442 - Personal history of urinary calculi | 10,040 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD Z87442 - Personal history of urinary calculi in DRG | 2.29 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD Z87442 - Personal history of urinary calculi | 2.98 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 16.59 | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 12.65 | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD Z87442 - Personal history of urinary calculi | $40,967,967 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD Z87442 - Personal history of urinary calculi | $1,371 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD Z87442 - Personal history of urinary calculi | $4,080 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD Z87442 - Personal history of urinary calculi | $251,259,403 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD Z87442 - Personal history of urinary calculi | $25,026 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD Z87442 - Personal history of urinary calculi | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 5.21 | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 79.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD Z87442 - Personal history of urinary calculi | 5,113 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD Z87442 - Personal history of urinary calculi in DRG | 1.17 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD Z87442 - Personal history of urinary calculi | 4.29 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 22.33 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 18.0 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD Z87442 - Personal history of urinary calculi | $34,103,688 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD Z87442 - Personal history of urinary calculi | $1,556 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD Z87442 - Personal history of urinary calculi | $6,670 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD Z87442 - Personal history of urinary calculi | $165,063,785 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD Z87442 - Personal history of urinary calculi | $32,283 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD Z87442 - Personal history of urinary calculi | 0.86 | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 10.62 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 58.4 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD Z87442 - Personal history of urinary calculi | 4,385 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD Z87442 - Personal history of urinary calculi in DRG | 1.0 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD Z87442 - Personal history of urinary calculi | 3.69 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 15.15 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD Z87442 - Personal history of urinary calculi | 10.83 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD Z87442 - Personal history of urinary calculi | $21,112,090 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD Z87442 - Personal history of urinary calculi | $1,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD Z87442 - Personal history of urinary calculi | $4,815 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD Z87442 - Personal history of urinary calculi | $101,693,876 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD Z87442 - Personal history of urinary calculi | $23,191 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD Z87442 - Personal history of urinary calculi | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 11.86 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD Z87442 - Personal history of urinary calculi | 60.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 2,010 |
| WINCHESTER MEDICAL CENTER | 1840 AMHERST ST | WINCHESTER | VA | 22601 | 1,982 |
| BEAUMONT HOSPITAL TROY | 44201 DEQUINDRE RD | TROY | MI | 48085 | 1,768 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CLIFTON THOMAS PANNELL LEWIS | 833 PRINCETON AVE SW | BIRMINGHAM | AL | 35211 | 72 |
| Dr. ALVIN CHUA ONG | 2500 ENGLISH CREEK AVE | EGG HARBOR TOWNSHIP | NJ | 08234 | 70 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 178 |
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 145 |
| Dr. ARASH MILANI | 12830 HESPERIA RD STE D | VICTORVILLE | CA | 92395 | 113 |