Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 691 | URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | Non Surgical | 85.67 | NA | 528 | 3,504 | 3,472 | ||||||||||||
| 692 | URINARY STONES WITH ESW LITHOTRIPSY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | Non Surgical | 14.33 | NA | 58 | 586 | 581 |
DEMOGRAPHIC DETAILS OF DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 3,060 | 87.33 |
| Black | 249 | 7.11 |
| Hispanic | 82 | 2.34 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 932 | 26.6 |
| 65 to 69 | 852 | 24.32 |
| 70 to 74 | 646 | 18.44 |
TOP ICD DIAGNOSIS CODES FOR DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 5921 | Calculus of ureter | 1,831 | 52.25 |
| 591 | Hydronephrosis | 1,675 | 47.8 |
| 5920 | Calculus of kidney | 1,274 | 36.36 |
TOP ICD PROCEDURE CODES FOR DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 9851 | Extracorporeal Shockwave Lithotripsy [Eswl] Of The Kidney, Ureter And/Or Bladder | 2,418 | 69.01 |
| 598 | Ureteral Catheterization | 1,425 | 40.67 |
| 8774 | Retrograde Pyelogram | 619 | 17.67 |
TOP HOSPITALS ASSOCIATED WITH DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Advanced Care Hospital of White County | 1200 S MAIN ST | Searcy | AR | 72143 | 52 | 1.48 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 44 | 1.26 |
| John Muir Health - Concord Medical Center | 2540 EAST ST | Concord | CA | 94520 | 39 | 1.11 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. TOMMY THOMPSON | 2900 HAWKINS DR | SEARCY | AR | 72143 | 30 | 0.86 |
| DR. KASHIF ALVI | 6750 E BAYWOOD AVE | MESA | AZ | 85206 | 26 | 0.74 |
| DR. WILLIAM T ROBERTSON | 2900 HAWKINS DR | SEARCY | AR | 72143 | 21 | 0.6 |
DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/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 2013 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 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 With Esw Lithotripsy | 5921 | Calculus of ureter | NA | 1,831 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 591 | Hydronephrosis | NA | 1,675 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 5920 | Calculus of kidney | NA | 1,274 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 4019 | Unspecified essential hypertension | NA | 1,140 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | N132 | Hydronephrosis with renal and ureteral calculous obstruction | 2,018 | 736 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 2724 | Other and unspecified hyperlipidemia | NA | 713 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 5990 | Urinary tract infection, site not specified | NA | 690 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 637 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | 5849 | Acute kidney failure, unspecified | NA | 592 | |||||||||||||||||
| Urology | Urinary Stones | Urinary Stones With Esw Lithotripsy | I10 | Essential (primary) hypertension | 1,045 | 540 |