*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| D291 - Benign neoplasm of prostate - as a primary diagnosis code | D291 - Benign neoplasm of prostate - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.22 | |
| Readmission Rate (%) | 19.16 | |
| Unplanned Readmission Rate (%) | 7.0 | |
| 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 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,072 | ||||
| Total Hospitalizations with ICD D291 - Benign neoplasm of prostate | 130 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D291 - Benign neoplasm of prostate in DRG | 22.73 | ||||
| Avg LOS at DRG | 3.21 | ||||
| Avg LOS with ICD D291 - Benign neoplasm of prostate | 4.0 | ||||
| Readmission Rate at DRG | 8.39 | ||||
| Readmission Rate with ICD D291 - Benign neoplasm of prostate | 10.4 | ||||
| Unplanned Readmission Rate at DRG | 6.2 | ||||
| Unplanned Readmission Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Total Medicare payments at DRG | $167,045,654 | ||||
| Total Medicare payments with ICD D291 - Benign neoplasm of prostate | $1,504,440 | ||||
| Total Medicare payment per Day at DRG | $3,449 | ||||
| Total Medicare payment per Day with ICD D291 - Benign neoplasm of prostate | $2,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,083 | ||||
| Total Medicare payment per Hospitalization with ICD D291 - Benign neoplasm of prostate | $11,573 | ||||
| Total Medicare Charges at DRG | $1,066,832,463 | ||||
| Total Medicare Charges with ICD D291 - Benign neoplasm of prostate | $8,270,128 | ||||
| Avg Charges at DRG | $70,782 | ||||
| Avg Charges with ICD D291 - Benign neoplasm of prostate | $63,616 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 2.81 | ||||
| SNF Discharge Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Home Discharge Rate at DRG | 84.9 | ||||
| Home Discharge Rate with ICD D291 - Benign neoplasm of prostate | 80.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 729: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 7,406 | |
| Total Hospitalizations with ICD D291 - Benign neoplasm of prostate | 63 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD D291 - Benign neoplasm of prostate in DRG | 11.01 | |
| Avg LOS at DRG | 1.86 | |
| Avg LOS with ICD D291 - Benign neoplasm of prostate | 2.08 | |
| Readmission Rate at DRG | 7.87 | |
| Readmission Rate with ICD D291 - Benign neoplasm of prostate | NA | |
| Unplanned Readmission Rate at DRG | 6.31 | |
| Unplanned Readmission Rate with ICD D291 - Benign neoplasm of prostate | NA | |
| Total Medicare payments at DRG | $31,657,015 | |
| Total Medicare payments with ICD D291 - Benign neoplasm of prostate | $298,913 | |
| Total Medicare payment per Day at DRG | $2,298 | |
| Total Medicare payment per Day with ICD D291 - Benign neoplasm of prostate | $2,282 | |
| Total Medicare payment per Hospitalization at DRG | $4,275 | |
| Total Medicare payment per Hospitalization with ICD D291 - Benign neoplasm of prostate | $4,745 | |
| Total Medicare Charges at DRG | $228,895,540 | |
| Total Medicare Charges with ICD D291 - Benign neoplasm of prostate | $2,151,021 | |
| Avg Charges at DRG | $30,907 | |
| Avg Charges with ICD D291 - Benign neoplasm of prostate | $34,143 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD D291 - Benign neoplasm of prostate | NA | |
| SNF Discharge Rate at DRG | 3.23 | |
| SNF Discharge Rate with ICD D291 - Benign neoplasm of prostate | NA | |
| Home Discharge Rate at DRG | 87.82 | |
| Home Discharge Rate with ICD D291 - Benign neoplasm of prostate | 90.48 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 15 |
| UT SOUTHWESTERN MEDICAL CENTER | 6201 HARRY HINES BLVD | DALLAS | TX | 75390 | 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 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,072 | ||||
| Total Hospitalizations with ICD D291 - Benign neoplasm of prostate | 282 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD D291 - Benign neoplasm of prostate in DRG | 5.88 | ||||
| Avg LOS at DRG | 3.21 | ||||
| Avg LOS with ICD D291 - Benign neoplasm of prostate | 3.86 | ||||
| Readmission Rate at DRG | 8.39 | ||||
| Readmission Rate with ICD D291 - Benign neoplasm of prostate | 8.42 | ||||
| Unplanned Readmission Rate at DRG | 6.2 | ||||
| Unplanned Readmission Rate with ICD D291 - Benign neoplasm of prostate | 5.86 | ||||
| Total Medicare payments at DRG | $167,045,654 | ||||
| Total Medicare payments with ICD D291 - Benign neoplasm of prostate | $3,236,619 | ||||
| Total Medicare payment per Day at DRG | $3,449 | ||||
| Total Medicare payment per Day with ICD D291 - Benign neoplasm of prostate | $2,975 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,083 | ||||
| Total Medicare payment per Hospitalization with ICD D291 - Benign neoplasm of prostate | $11,477 | ||||
| Total Medicare Charges at DRG | $1,066,832,463 | ||||
| Total Medicare Charges with ICD D291 - Benign neoplasm of prostate | $18,538,460 | ||||
| Avg Charges at DRG | $70,782 | ||||
| Avg Charges with ICD D291 - Benign neoplasm of prostate | $65,739 | ||||
| Mortality Rate at DRG | 0.23 | ||||
| Mortality Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 2.81 | ||||
| SNF Discharge Rate with ICD D291 - Benign neoplasm of prostate | 5.32 | ||||
| Home Discharge Rate at DRG | 84.9 | ||||
| Home Discharge Rate with ICD D291 - Benign neoplasm of prostate | 78.72 |
*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 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD D291 - Benign neoplasm of prostate | 135 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD D291 - Benign neoplasm of prostate in DRG | 2.82 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD D291 - Benign neoplasm of prostate | 14.44 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD D291 - Benign neoplasm of prostate | 32.81 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD D291 - Benign neoplasm of prostate | 18.75 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD D291 - Benign neoplasm of prostate | $1,381,818 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD D291 - Benign neoplasm of prostate | $709 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD D291 - Benign neoplasm of prostate | $10,236 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD D291 - Benign neoplasm of prostate | $3,864,404 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD D291 - Benign neoplasm of prostate | $28,625 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD D291 - Benign neoplasm of prostate | 75.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD D291 - Benign neoplasm of prostate | 77 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD D291 - Benign neoplasm of prostate in DRG | 1.61 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD D291 - Benign neoplasm of prostate | 4.39 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD D291 - Benign neoplasm of prostate | 14.67 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD D291 - Benign neoplasm of prostate | $402,347 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD D291 - Benign neoplasm of prostate | $1,190 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD D291 - Benign neoplasm of prostate | $5,225 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD D291 - Benign neoplasm of prostate | $1,905,379 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD D291 - Benign neoplasm of prostate | $24,745 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD D291 - Benign neoplasm of prostate | 24.68 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD D291 - Benign neoplasm of prostate | 48.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,755 | ||||
| Total Hospitalizations with ICD D291 - Benign neoplasm of prostate | 54 | ||||
| DRG Share of Total Hospitalizations | 1.27 | ||||
| % of Total ICD D291 - Benign neoplasm of prostate in DRG | 1.13 | ||||
| Avg LOS at DRG | 3.9 | ||||
| Avg LOS with ICD D291 - Benign neoplasm of prostate | 5.04 | ||||
| Readmission Rate at DRG | 16.53 | ||||
| Readmission Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Unplanned Readmission Rate at DRG | 11.52 | ||||
| Unplanned Readmission Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Total Medicare payments at DRG | $2,493,587,688 | ||||
| Total Medicare payments with ICD D291 - Benign neoplasm of prostate | $450,348 | ||||
| Total Medicare payment per Day at DRG | $1,529 | ||||
| Total Medicare payment per Day with ICD D291 - Benign neoplasm of prostate | $1,656 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,969 | ||||
| Total Medicare payment per Hospitalization with ICD D291 - Benign neoplasm of prostate | $8,340 | ||||
| Total Medicare Charges at DRG | $11,318,800,289 | ||||
| Total Medicare Charges with ICD D291 - Benign neoplasm of prostate | $1,490,165 | ||||
| Avg Charges at DRG | $27,094 | ||||
| Avg Charges with ICD D291 - Benign neoplasm of prostate | $27,596 | ||||
| Mortality Rate at DRG | 0.87 | ||||
| Mortality Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD D291 - Benign neoplasm of prostate | NA | ||||
| Home Discharge Rate at DRG | 53.31 | ||||
| Home Discharge Rate with ICD D291 - Benign neoplasm of prostate | 40.74 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DOCTORS' CENTER HOSPITAL | CARR. #2 KM 47.7 | MANATI | PR | 00674 | 79 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 59 |
| KINDRED HOSPITAL SUGAR LAND | 1550 FIRST COLONY BLVD | SUGAR LAND | TX | 77479 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWARD WANG | 1860 PENNSYLVANIA AVE | FAIRFIELD | CA | 94533 | 16 |
| Dr. CLAUS G ROEHRBORN | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 12 |
| Dr. JOHN MILNER | 9669 KENTON AVE | SKOKIE | IL | 60076 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSE FRANCISCO DE LEON | 214 CALLE GUAJATACA | VEGA BAJA | PR | 00693 | 17 |
| Dr. ALVARO LACAYO | 7000 SW 97 AVE | MIAMI | FL | 33173 | 16 |
| Dr. DARIN KEITH WILBOURN | 410 W PERSHING BLVD | NORTH LITTLE ROCK | AR | 72114 | 13 |