*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
N400 - Benign prostatic hyperplasia without lower urinary tract symptoms - as a primary diagnosis code | N400 - Benign prostatic hyperplasia without lower urinary tract symptoms - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.43 | |
Readmission Rate (%) | 21.67 | |
Unplanned Readmission Rate (%) | 9.77 | |
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 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 7,406 | ||||
Total Hospitalizations with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 805 | ||||
DRG Share of Total Hospitalizations | 0.02 | ||||
% of Total ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms in DRG | 32.38 | ||||
Avg LOS at DRG | 1.86 | ||||
Avg LOS with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 1.8 | ||||
Readmission Rate at DRG | 7.87 | ||||
Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 7.46 | ||||
Unplanned Readmission Rate at DRG | 6.31 | ||||
Unplanned Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 6.32 | ||||
Total Medicare payments at DRG | $31,657,015 | ||||
Total Medicare payments with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $3,449,374 | ||||
Total Medicare payment per Day at DRG | $2,298 | ||||
Total Medicare payment per Day with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $2,382 | ||||
Total Medicare payment per Hospitalization at DRG | $4,275 | ||||
Total Medicare payment per Hospitalization with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $4,285 | ||||
Total Medicare Charges at DRG | $228,895,540 | ||||
Total Medicare Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $25,116,406 | ||||
Avg Charges at DRG | $30,907 | ||||
Avg Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $31,201 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | NA | ||||
SNF Discharge Rate at DRG | 3.23 | ||||
SNF Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 1.49 | ||||
Home Discharge Rate at DRG | 87.82 | ||||
Home Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 91.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 725: BENIGN PROSTATIC HYPERTROPHY WITH 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 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|
Total Hospitalizations at DRG | 2,258 | ||
Total Hospitalizations with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 87 | ||
DRG Share of Total Hospitalizations | 0.01 | ||
% of Total ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms in DRG | 3.5 | ||
Avg LOS at DRG | 5.27 | ||
Avg LOS with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 5.01 | ||
Readmission Rate at DRG | 26.17 | ||
Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 24.39 | ||
Unplanned Readmission Rate at DRG | 19.18 | ||
Unplanned Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | NA | ||
Total Medicare payments at DRG | $19,214,320 | ||
Total Medicare payments with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $767,890 | ||
Total Medicare payment per Day at DRG | $1,616 | ||
Total Medicare payment per Day with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,761 | ||
Total Medicare payment per Hospitalization at DRG | $8,509 | ||
Total Medicare payment per Hospitalization with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $8,826 | ||
Total Medicare Charges at DRG | $89,712,276 | ||
Total Medicare Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $3,400,135 | ||
Avg Charges at DRG | $39,731 | ||
Avg Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $39,082 | ||
Mortality Rate at DRG | 1.46 | ||
Mortality Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | NA | ||
SNF Discharge Rate at DRG | 32.33 | ||
SNF Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 24.14 | ||
Home Discharge Rate at DRG | 31.98 | ||
Home Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 51.72 |
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 | 19 |
NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 18 |
SAINT FRANCIS HOSPITAL | 6161 S YALE AVE | TULSA | OK | 74136 | 14 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. KYLE KENNYSTON HIMSL | 1441 EASTLAKE AVE | LOS ANGELES | CA | 90089 | 12 |
Dr. ROBERT L HUMBLE | 2516 BROADMOOR BLVD | MONROE | LA | 71201 | 11 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. KYLE KENNYSTON HIMSL | 1441 EASTLAKE AVE | LOS ANGELES | CA | 90089 | 12 |
Dr. ROBERT L HUMBLE | 2516 BROADMOOR BLVD | MONROE | LA | 71201 | 11 |
*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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,808,415 | ||||
Total Hospitalizations with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 131,874 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms in DRG | 6.1 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 6.14 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 23.16 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 16.1 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,561,818,217 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,930 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $11,843 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $7,651,018,781 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $58,018 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 9.94 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 29.04 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 26.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 408,103 | ||||
Total Hospitalizations with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 34,325 | ||||
DRG Share of Total Hospitalizations | 1.24 | ||||
% of Total ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms in DRG | 1.59 | ||||
Avg LOS at DRG | 3.52 | ||||
Avg LOS with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 3.52 | ||||
Readmission Rate at DRG | 17.83 | ||||
Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 17.77 | ||||
Unplanned Readmission Rate at DRG | 13.81 | ||||
Unplanned Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 14.01 | ||||
Total Medicare payments at DRG | $2,416,862,532 | ||||
Total Medicare payments with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $206,120,078 | ||||
Total Medicare payment per Day at DRG | $1,682 | ||||
Total Medicare payment per Day with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,708 | ||||
Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
Total Medicare payment per Hospitalization with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $6,005 | ||||
Total Medicare Charges at DRG | $13,267,744,847 | ||||
Total Medicare Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,164,562,696 | ||||
Avg Charges at DRG | $32,511 | ||||
Avg Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $33,928 | ||||
Mortality Rate at DRG | 0.72 | ||||
Mortality Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 0.63 | ||||
SNF Discharge Rate at DRG | 14.1 | ||||
SNF Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 13.32 | ||||
Home Discharge Rate at DRG | 62.97 | ||||
Home Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 64.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 32,514 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms in DRG | 1.5 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 5.29 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 21.6 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 15.7 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $284,628,517 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,655 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $8,754 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,372,602,838 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $42,216 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 3.34 | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 24.15 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 38.69 |
*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 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 365,119 | ||||
Total Hospitalizations with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 24,966 | ||||
DRG Share of Total Hospitalizations | 1.11 | ||||
% of Total ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms in DRG | 1.16 | ||||
Avg LOS at DRG | 5.91 | ||||
Avg LOS with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 5.92 | ||||
Readmission Rate at DRG | 27.73 | ||||
Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 26.25 | ||||
Unplanned Readmission Rate at DRG | 20.3 | ||||
Unplanned Readmission Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 18.71 | ||||
Total Medicare payments at DRG | $3,552,910,533 | ||||
Total Medicare payments with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $244,944,662 | ||||
Total Medicare payment per Day at DRG | $1,646 | ||||
Total Medicare payment per Day with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,656 | ||||
Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
Total Medicare payment per Hospitalization with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $9,811 | ||||
Total Medicare Charges at DRG | $16,860,985,198 | ||||
Total Medicare Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $1,178,750,873 | ||||
Avg Charges at DRG | $46,179 | ||||
Avg Charges with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | $47,214 | ||||
Mortality Rate at DRG | 5.06 | ||||
Mortality Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 4.91 | ||||
SNF Discharge Rate at DRG | 28.7 | ||||
SNF Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 31.61 | ||||
Home Discharge Rate at DRG | 32.16 | ||||
Home Discharge Rate with ICD N400 - Benign prostatic hyperplasia without lower urinary tract symptoms | 28.8 |
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 | 6,490 |
BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 5,562 |
NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 5,481 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 435 |
Dr. DAVID M ROGERS | 5645 MAIN ST | FLUSHING | NY | 11355 | 387 |
Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 305 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 976 |
Dr. LOUIS SANG-SOO PARK | 500 S VIRGIL AVE # 502 | LOS ANGELES | CA | 90020 | 698 |
Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 509 |