*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N39498 - Other specified urinary incontinence - as a primary diagnosis code | N39498 - Other specified urinary incontinence - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.68 | |
| Readmission Rate (%) | 22.83 | |
| Unplanned Readmission Rate (%) | 17.74 | |
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 664: MINOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 654: MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,141 | |||
| Total Hospitalizations with ICD N39498 - Other specified urinary incontinence | 35 | |||
| DRG Share of Total Hospitalizations | 0.07 | |||
| % of Total ICD N39498 - Other specified urinary incontinence in DRG | 27.56 | |||
| Avg LOS at DRG | 2.84 | |||
| Avg LOS with ICD N39498 - Other specified urinary incontinence | 3.0 | |||
| Readmission Rate at DRG | 20.27 | |||
| Readmission Rate with ICD N39498 - Other specified urinary incontinence | NA | |||
| Unplanned Readmission Rate at DRG | 15.25 | |||
| Unplanned Readmission Rate with ICD N39498 - Other specified urinary incontinence | NA | |||
| Total Medicare payments at DRG | $96,280,494 | |||
| Total Medicare payments with ICD N39498 - Other specified urinary incontinence | $204,234 | |||
| Total Medicare payment per Day at DRG | $1,467 | |||
| Total Medicare payment per Day with ICD N39498 - Other specified urinary incontinence | $1,945 | |||
| Total Medicare payment per Hospitalization at DRG | $4,161 | |||
| Total Medicare payment per Hospitalization with ICD N39498 - Other specified urinary incontinence | $5,835 | |||
| Total Medicare Charges at DRG | $500,411,349 | |||
| Total Medicare Charges with ICD N39498 - Other specified urinary incontinence | $676,013 | |||
| Avg Charges at DRG | $21,624 | |||
| Avg Charges with ICD N39498 - Other specified urinary incontinence | $19,315 | |||
| Mortality Rate at DRG | 0.28 | |||
| Mortality Rate with ICD N39498 - Other specified urinary incontinence | NA | |||
| SNF Discharge Rate at DRG | 15.28 | |||
| SNF Discharge Rate with ICD N39498 - Other specified urinary incontinence | NA | |||
| Home Discharge Rate at DRG | 59.05 | |||
| Home Discharge Rate with ICD N39498 - Other specified urinary incontinence | 40.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N39498 - Other specified urinary incontinence | 3,336 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N39498 - Other specified urinary incontinence in DRG | 6.7 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N39498 - Other specified urinary incontinence | 6.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N39498 - Other specified urinary incontinence | 21.29 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N39498 - Other specified urinary incontinence | 14.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N39498 - Other specified urinary incontinence | $40,958,728 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N39498 - Other specified urinary incontinence | $1,803 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N39498 - Other specified urinary incontinence | $12,278 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N39498 - Other specified urinary incontinence | $183,496,139 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N39498 - Other specified urinary incontinence | $55,005 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N39498 - Other specified urinary incontinence | 5.43 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N39498 - Other specified urinary incontinence | 38.07 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N39498 - Other specified urinary incontinence | 18.65 |
*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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD N39498 - Other specified urinary incontinence | 1,040 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N39498 - Other specified urinary incontinence in DRG | 2.09 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD N39498 - Other specified urinary incontinence | 5.32 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD N39498 - Other specified urinary incontinence | 21.66 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD N39498 - Other specified urinary incontinence | 15.79 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD N39498 - Other specified urinary incontinence | $7,443,590 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD N39498 - Other specified urinary incontinence | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD N39498 - Other specified urinary incontinence | $7,157 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD N39498 - Other specified urinary incontinence | $38,003,439 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD N39498 - Other specified urinary incontinence | $36,542 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD N39498 - Other specified urinary incontinence | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD N39498 - Other specified urinary incontinence | 39.71 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD N39498 - Other specified urinary incontinence | 22.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 195,476 | ||||
| Total Hospitalizations with ICD N39498 - Other specified urinary incontinence | 823 | ||||
| DRG Share of Total Hospitalizations | 0.59 | ||||
| % of Total ICD N39498 - Other specified urinary incontinence in DRG | 1.65 | ||||
| Avg LOS at DRG | 4.48 | ||||
| Avg LOS with ICD N39498 - Other specified urinary incontinence | 6.52 | ||||
| Readmission Rate at DRG | 20.57 | ||||
| Readmission Rate with ICD N39498 - Other specified urinary incontinence | 23.61 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD N39498 - Other specified urinary incontinence | 10.12 | ||||
| Total Medicare payments at DRG | $1,320,662,237 | ||||
| Total Medicare payments with ICD N39498 - Other specified urinary incontinence | $8,212,952 | ||||
| Total Medicare payment per Day at DRG | $1,508 | ||||
| Total Medicare payment per Day with ICD N39498 - Other specified urinary incontinence | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,756 | ||||
| Total Medicare payment per Hospitalization with ICD N39498 - Other specified urinary incontinence | $9,979 | ||||
| Total Medicare Charges at DRG | $6,024,639,461 | ||||
| Total Medicare Charges with ICD N39498 - Other specified urinary incontinence | $30,633,115 | ||||
| Avg Charges at DRG | $30,820 | ||||
| Avg Charges with ICD N39498 - Other specified urinary incontinence | $37,221 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD N39498 - Other specified urinary incontinence | NA | ||||
| SNF Discharge Rate at DRG | 33.36 | ||||
| SNF Discharge Rate with ICD N39498 - Other specified urinary incontinence | 33.05 | ||||
| Home Discharge Rate at DRG | 30.98 | ||||
| Home Discharge Rate with ICD N39498 - Other specified urinary incontinence | 24.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD N39498 - Other specified urinary incontinence | 562 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD N39498 - Other specified urinary incontinence in DRG | 1.13 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD N39498 - Other specified urinary incontinence | 7.52 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD N39498 - Other specified urinary incontinence | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD N39498 - Other specified urinary incontinence | 17.24 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD N39498 - Other specified urinary incontinence | $5,690,604 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD N39498 - Other specified urinary incontinence | $1,347 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD N39498 - Other specified urinary incontinence | $10,126 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD N39498 - Other specified urinary incontinence | $27,410,184 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD N39498 - Other specified urinary incontinence | $48,773 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD N39498 - Other specified urinary incontinence | 3.38 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD N39498 - Other specified urinary incontinence | 43.95 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD N39498 - Other specified urinary incontinence | 18.15 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 190 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 180 |
| UNIVERSITY HOSPITAL AT STONY BROOK | NICOLLS RD | STONY BROOK | NY | 11794 | 168 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MARK HENRY STEINHAUER | 10301 GATEWAY BLVD W | EL PASO | TX | 79925 | 29 |
| Dr. ANDREA H NAYLOR | 416 CONNABLE AVE | PETOSKEY | MI | 49770 | 28 |
| Dr. MICHAEL GERARD FUENTES | 5656 S STAPLES ST | CORPUS CHRISTI | TX | 78411 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GENEVA LYNN JACOBS | 3901 UNIVERSITY BLVD. SOUTH | JACKSONVILLE | FL | 32216 | 79 |
| Dr. GREGORY WARD | 8338 SUMMA AVE | BATON ROUGE | LA | 70809 | 58 |
| Dr. ROBERT L. MAIELLO | 3261 US HIGHWAY 441/27 STE B2 | FRUITLAND PARK | FL | 34731 | 49 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z8546 | Personal history of malignant neoplasm of prostate |
| 2 | K219 | Gastro-esophageal reflux disease without esophagitis |