*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N23 - Unspecified renal colic - as a primary diagnosis code | N23 - Unspecified renal colic - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.84 | |
| Readmission Rate (%) | 16.84 | |
| Unplanned Readmission Rate (%) | 9.94 | |
| 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) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 52,303 | ||
| Total Hospitalizations with ICD N23 - Unspecified renal colic | 292 | ||
| DRG Share of Total Hospitalizations | 0.16 | ||
| % of Total ICD N23 - Unspecified renal colic in DRG | 80.89 | ||
| Avg LOS at DRG | 2.4 | ||
| Avg LOS with ICD N23 - Unspecified renal colic | 2.12 | ||
| Readmission Rate at DRG | 14.49 | ||
| Readmission Rate with ICD N23 - Unspecified renal colic | 14.13 | ||
| Unplanned Readmission Rate at DRG | 10.4 | ||
| Unplanned Readmission Rate with ICD N23 - Unspecified renal colic | 9.42 | ||
| Total Medicare payments at DRG | $214,183,417 | ||
| Total Medicare payments with ICD N23 - Unspecified renal colic | $1,158,364 | ||
| Total Medicare payment per Day at DRG | $1,704 | ||
| Total Medicare payment per Day with ICD N23 - Unspecified renal colic | $1,874 | ||
| Total Medicare payment per Hospitalization at DRG | $4,095 | ||
| Total Medicare payment per Hospitalization with ICD N23 - Unspecified renal colic | $3,967 | ||
| Total Medicare Charges at DRG | $1,475,612,366 | ||
| Total Medicare Charges with ICD N23 - Unspecified renal colic | $6,218,627 | ||
| Avg Charges at DRG | $28,213 | ||
| Avg Charges with ICD N23 - Unspecified renal colic | $21,297 | ||
| Mortality Rate at DRG | 0.08 | ||
| Mortality Rate with ICD N23 - Unspecified renal colic | NA | ||
| SNF Discharge Rate at DRG | 5.6 | ||
| SNF Discharge Rate with ICD N23 - Unspecified renal colic | NA | ||
| Home Discharge Rate at DRG | 80.64 | ||
| Home Discharge Rate with ICD N23 - Unspecified renal colic | 85.96 |
*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 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,303 | ||||
| Total Hospitalizations with ICD N23 - Unspecified renal colic | 1,033 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD N23 - Unspecified renal colic in DRG | 26.5 | ||||
| Avg LOS at DRG | 2.4 | ||||
| Avg LOS with ICD N23 - Unspecified renal colic | 2.17 | ||||
| Readmission Rate at DRG | 14.49 | ||||
| Readmission Rate with ICD N23 - Unspecified renal colic | 12.31 | ||||
| Unplanned Readmission Rate at DRG | 10.4 | ||||
| Unplanned Readmission Rate with ICD N23 - Unspecified renal colic | 8.72 | ||||
| Total Medicare payments at DRG | $214,183,417 | ||||
| Total Medicare payments with ICD N23 - Unspecified renal colic | $3,950,099 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD N23 - Unspecified renal colic | $1,766 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,095 | ||||
| Total Medicare payment per Hospitalization with ICD N23 - Unspecified renal colic | $3,824 | ||||
| Total Medicare Charges at DRG | $1,475,612,366 | ||||
| Total Medicare Charges with ICD N23 - Unspecified renal colic | $26,756,062 | ||||
| Avg Charges at DRG | $28,213 | ||||
| Avg Charges with ICD N23 - Unspecified renal colic | $25,901 | ||||
| Mortality Rate at DRG | 0.08 | ||||
| Mortality Rate with ICD N23 - Unspecified renal colic | NA | ||||
| SNF Discharge Rate at DRG | 5.6 | ||||
| SNF Discharge Rate with ICD N23 - Unspecified renal colic | 2.81 | ||||
| Home Discharge Rate at DRG | 80.64 | ||||
| Home Discharge Rate with ICD N23 - Unspecified renal colic | 87.22 |
*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 693: URINARY STONES WITHOUT ESW LITHOTRIPSY 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 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N23 - Unspecified renal colic | 125 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N23 - Unspecified renal colic in DRG | 3.21 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N23 - Unspecified renal colic | 6.22 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N23 - Unspecified renal colic | 14.95 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N23 - Unspecified renal colic | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N23 - Unspecified renal colic | $1,379,816 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N23 - Unspecified renal colic | $1,774 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N23 - Unspecified renal colic | $11,039 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N23 - Unspecified renal colic | $7,396,950 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N23 - Unspecified renal colic | $59,176 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N23 - Unspecified renal colic | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N23 - Unspecified renal colic | 16.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N23 - Unspecified renal colic | 45.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 670: TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD N23 - Unspecified renal colic | 62 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD N23 - Unspecified renal colic in DRG | 1.59 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD N23 - Unspecified renal colic | 14.89 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD N23 - Unspecified renal colic | 31.03 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD N23 - Unspecified renal colic | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD N23 - Unspecified renal colic | $771,240 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD N23 - Unspecified renal colic | $836 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD N23 - Unspecified renal colic | $12,439 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD N23 - Unspecified renal colic | $2,085,821 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD N23 - Unspecified renal colic | $33,642 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD N23 - Unspecified renal colic | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD N23 - Unspecified renal colic | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD N23 - Unspecified renal colic | 88.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 691: URINARY STONES WITH ESW LITHOTRIPSY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,478 | ||||
| Total Hospitalizations with ICD N23 - Unspecified renal colic | 32 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD N23 - Unspecified renal colic in DRG | 0.82 | ||||
| Avg LOS at DRG | 3.26 | ||||
| Avg LOS with ICD N23 - Unspecified renal colic | 2.91 | ||||
| Readmission Rate at DRG | 12.45 | ||||
| Readmission Rate with ICD N23 - Unspecified renal colic | NA | ||||
| Unplanned Readmission Rate at DRG | 9.93 | ||||
| Unplanned Readmission Rate with ICD N23 - Unspecified renal colic | NA | ||||
| Total Medicare payments at DRG | $12,743,792 | ||||
| Total Medicare payments with ICD N23 - Unspecified renal colic | $258,212 | ||||
| Total Medicare payment per Day at DRG | $2,647 | ||||
| Total Medicare payment per Day with ICD N23 - Unspecified renal colic | $2,776 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,622 | ||||
| Total Medicare payment per Hospitalization with ICD N23 - Unspecified renal colic | $8,069 | ||||
| Total Medicare Charges at DRG | $73,126,635 | ||||
| Total Medicare Charges with ICD N23 - Unspecified renal colic | $1,354,897 | ||||
| Avg Charges at DRG | $49,477 | ||||
| Avg Charges with ICD N23 - Unspecified renal colic | $42,341 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N23 - Unspecified renal colic | NA | ||||
| SNF Discharge Rate at DRG | 6.63 | ||||
| SNF Discharge Rate with ICD N23 - Unspecified renal colic | NA | ||||
| Home Discharge Rate at DRG | 81.8 | ||||
| Home Discharge Rate with ICD N23 - Unspecified renal colic | 81.25 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ENLOE MEDICAL CENTER | 1531 ESPLANADE | CHICO | CA | 95926 | 29 |
| HOLMES REGIONAL MEDICAL CENTER | 1350 HICKORY ST | MELBOURNE | FL | 32901 | 24 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE A ALLENDE | CALLE DR. ROSES ARTAU #156 | ARECIBO | PR | 00612 | 14 |