*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N401 - Benign prostatic hyperplasia with lower urinary tract symptoms - as a primary diagnosis code | N401 - Benign prostatic hyperplasia with lower urinary tract symptoms - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.33 | |
| Readmission Rate (%) | 22.83 | |
| Unplanned Readmission Rate (%) | 10.76 | |
| 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 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 714: TRANSURETHRAL PROSTATECTOMY 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) | DRG 725: BENIGN PROSTATIC HYPERTROPHY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,330 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 13,630 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 37.24 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 3.47 | ||||
| Readmission Rate at DRG | 14.79 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 13.46 | ||||
| Unplanned Readmission Rate at DRG | 11.24 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 10.35 | ||||
| Total Medicare payments at DRG | $155,091,532 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $119,544,634 | ||||
| Total Medicare payment per Day at DRG | $2,304 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $2,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $8,771 | ||||
| Total Medicare Charges at DRG | $834,175,007 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $609,167,320 | ||||
| Avg Charges at DRG | $48,135 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $44,693 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 0.34 | ||||
| SNF Discharge Rate at DRG | 11.4 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 10.51 | ||||
| Home Discharge Rate at DRG | 70.23 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 73.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 709: PENIS PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,409 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 1,876 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 5.13 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 4.16 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 15.47 | ||||
| Unplanned Readmission Rate at DRG | 12.4 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 11.53 | ||||
| Total Medicare payments at DRG | $43,583,093 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $21,138,377 | ||||
| Total Medicare payment per Day at DRG | $2,016 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $2,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,785 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $11,268 | ||||
| Total Medicare Charges at DRG | $250,347,037 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $117,643,597 | ||||
| Avg Charges at DRG | $73,437 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $62,710 | ||||
| Mortality Rate at DRG | 0.97 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | ||||
| SNF Discharge Rate at DRG | 14.87 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 9.22 | ||||
| Home Discharge Rate at DRG | 55.5 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 70.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 711: TESTES PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 710: PENIS PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 55 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 0.15 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 9.55 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 37.74 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $1,601,318 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $3,050 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $29,115 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $6,118,066 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $111,238 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 32.73 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 23.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,842 | |
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 12 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 0.03 | |
| Avg LOS at DRG | 2.77 | |
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 2.17 | |
| Readmission Rate at DRG | 12.01 | |
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | |
| Unplanned Readmission Rate at DRG | 6.89 | |
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | |
| Total Medicare payments at DRG | $43,915,959 | |
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $83,813 | |
| Total Medicare payment per Day at DRG | $2,317 | |
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $3,224 | |
| Total Medicare payment per Hospitalization at DRG | $6,419 | |
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $6,984 | |
| Total Medicare Charges at DRG | $263,107,771 | |
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $489,659 | |
| Avg Charges at DRG | $38,455 | |
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $40,805 | |
| Mortality Rate at DRG | 0.16 | |
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | |
| SNF Discharge Rate at DRG | 8.1 | |
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA | |
| Home Discharge Rate at DRG | 72.74 | |
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 189 |
| LENOX HILL HOSPITAL | 100 E 77TH ST | NEW YORK | NY | 10021 | 175 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 174 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALBERT MCBRIDE | 1700 MOUNT VERNON AVE | BAKERSFIELD | CA | 93306 | 121 |
| Dr. CLAUS G ROEHRBORN | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 79 |
| Dr. SRINIVAS RAJAMAHANTY | 2601 W MAIN ST | CARBONDALE | IL | 62901 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ALBERT MCBRIDE | 1700 MOUNT VERNON AVE | BAKERSFIELD | CA | 93306 | 95 |
| Dr. CLAUS G ROEHRBORN | 5323 HARRY HINES BOULEVARD | DALLAS | TX | 75390 | 78 |
| Dr. SRINIVAS RAJAMAHANTY | 2601 W MAIN ST | CARBONDALE | IL | 62901 | 67 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 45,851 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 6.73 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 6.96 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 24.52 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 16.77 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $558,674,275 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $1,751 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $12,185 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $2,786,855,166 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $60,781 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 6.77 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 36.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 21.59 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 172,705 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 20,325 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 2.98 | ||||
| Avg LOS at DRG | 6.21 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 5.84 | ||||
| Readmission Rate at DRG | 27.27 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 23.46 | ||||
| Unplanned Readmission Rate at DRG | 20.51 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 17.87 | ||||
| Total Medicare payments at DRG | $1,773,015,083 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $207,834,615 | ||||
| Total Medicare payment per Day at DRG | $1,652 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $1,749 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,266 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $10,226 | ||||
| Total Medicare Charges at DRG | $8,667,227,667 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $911,337,162 | ||||
| Avg Charges at DRG | $50,185 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $44,838 | ||||
| Mortality Rate at DRG | 2.92 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 2.59 | ||||
| SNF Discharge Rate at DRG | 33.71 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 41.25 | ||||
| Home Discharge Rate at DRG | 25.53 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 20.89 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 10,995 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 1.61 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 13.66 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 17.76 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 11.52 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $207,854,622 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $1,384 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $18,904 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $560,780,481 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $51,003 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 0.39 | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 31.51 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 21.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 7,028 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms in DRG | 1.03 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 6.19 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 23.54 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 16.39 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $63,914,352 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $1,469 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $9,094 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $322,118,109 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | $45,834 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 3.81 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 32.75 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD N401 - Benign prostatic hyperplasia with lower urinary tract symptoms | 27.52 |
| 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 | 2,419 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 2,055 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,882 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 183 |
| Dr. ALBERT MCBRIDE | 1700 MOUNT VERNON AVE | BAKERSFIELD | CA | 93306 | 144 |
| Dr. JEFFREY CHARLES LAPEYROLERIE | 19250 BAGLEY RD | MIDDLEBURG HTS | OH | 44130 | 130 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 399 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 199 |
| Dr. RYAN THOMAS SWAN | 5715 E 2ND ST | CASPER | WY | 82609 | 198 |