*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N403 - Nodular prostate with lower urinary tract symptoms - as a primary diagnosis code | N403 - Nodular prostate with lower urinary tract symptoms - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.45 | |
| Readmission Rate (%) | 21.06 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 17,330 | ||
| Total Hospitalizations with ICD N403 - Nodular prostate with lower urinary tract symptoms | 27 | ||
| DRG Share of Total Hospitalizations | 0.05 | ||
| % of Total ICD N403 - Nodular prostate with lower urinary tract symptoms in DRG | 39.13 | ||
| Avg LOS at DRG | 3.88 | ||
| Avg LOS with ICD N403 - Nodular prostate with lower urinary tract symptoms | 3.41 | ||
| Readmission Rate at DRG | 14.79 | ||
| Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||
| Unplanned Readmission Rate at DRG | 11.24 | ||
| Unplanned Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||
| Total Medicare payments at DRG | $155,091,532 | ||
| Total Medicare payments with ICD N403 - Nodular prostate with lower urinary tract symptoms | $221,822 | ||
| Total Medicare payment per Day at DRG | $2,304 | ||
| Total Medicare payment per Day with ICD N403 - Nodular prostate with lower urinary tract symptoms | $2,411 | ||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||
| Total Medicare payment per Hospitalization with ICD N403 - Nodular prostate with lower urinary tract symptoms | $8,216 | ||
| Total Medicare Charges at DRG | $834,175,007 | ||
| Total Medicare Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $1,137,456 | ||
| Avg Charges at DRG | $48,135 | ||
| Avg Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $42,128 | ||
| Mortality Rate at DRG | 0.48 | ||
| Mortality Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||
| SNF Discharge Rate at DRG | 11.4 | ||
| SNF Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||
| Home Discharge Rate at DRG | 70.23 | ||
| Home Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | 85.19 |
*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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 | 17,330 | ||||
| Total Hospitalizations with ICD N403 - Nodular prostate with lower urinary tract symptoms | 61 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N403 - Nodular prostate with lower urinary tract symptoms in DRG | 5.58 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD N403 - Nodular prostate with lower urinary tract symptoms | 3.82 | ||||
| Readmission Rate at DRG | 14.79 | ||||
| Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | 19.3 | ||||
| Unplanned Readmission Rate at DRG | 11.24 | ||||
| Unplanned Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Total Medicare payments at DRG | $155,091,532 | ||||
| Total Medicare payments with ICD N403 - Nodular prostate with lower urinary tract symptoms | $592,936 | ||||
| Total Medicare payment per Day at DRG | $2,304 | ||||
| Total Medicare payment per Day with ICD N403 - Nodular prostate with lower urinary tract symptoms | $2,545 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||||
| Total Medicare payment per Hospitalization with ICD N403 - Nodular prostate with lower urinary tract symptoms | $9,720 | ||||
| Total Medicare Charges at DRG | $834,175,007 | ||||
| Total Medicare Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $3,088,145 | ||||
| Avg Charges at DRG | $48,135 | ||||
| Avg Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $50,625 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| SNF Discharge Rate at DRG | 11.4 | ||||
| SNF Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Home Discharge Rate at DRG | 70.23 | ||||
| Home Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | 81.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD N403 - Nodular prostate with lower urinary tract symptoms | 28 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD N403 - Nodular prostate with lower urinary tract symptoms in DRG | 2.56 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD N403 - Nodular prostate with lower urinary tract symptoms | 3.93 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD N403 - Nodular prostate with lower urinary tract symptoms | $151,905 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD N403 - Nodular prostate with lower urinary tract symptoms | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD N403 - Nodular prostate with lower urinary tract symptoms | $5,425 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $827,996 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $29,571 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | 60.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD N403 - Nodular prostate with lower urinary tract symptoms | 20 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD N403 - Nodular prostate with lower urinary tract symptoms in DRG | 1.83 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD N403 - Nodular prostate with lower urinary tract symptoms | 6.65 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD N403 - Nodular prostate with lower urinary tract symptoms | $203,796 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD N403 - Nodular prostate with lower urinary tract symptoms | $1,532 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD N403 - Nodular prostate with lower urinary tract symptoms | $10,190 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $969,136 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $48,457 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,011 | |||
| Total Hospitalizations with ICD N403 - Nodular prostate with lower urinary tract symptoms | 13 | |||
| DRG Share of Total Hospitalizations | 0.12 | |||
| % of Total ICD N403 - Nodular prostate with lower urinary tract symptoms in DRG | 1.19 | |||
| Avg LOS at DRG | 3.83 | |||
| Avg LOS with ICD N403 - Nodular prostate with lower urinary tract symptoms | 4.23 | |||
| Readmission Rate at DRG | 16.85 | |||
| Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | |||
| Unplanned Readmission Rate at DRG | 12.43 | |||
| Unplanned Readmission Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | |||
| Total Medicare payments at DRG | $294,947,527 | |||
| Total Medicare payments with ICD N403 - Nodular prostate with lower urinary tract symptoms | $96,600 | |||
| Total Medicare payment per Day at DRG | $2,024 | |||
| Total Medicare payment per Day with ICD N403 - Nodular prostate with lower urinary tract symptoms | $1,756 | |||
| Total Medicare payment per Hospitalization at DRG | $7,760 | |||
| Total Medicare payment per Hospitalization with ICD N403 - Nodular prostate with lower urinary tract symptoms | $7,431 | |||
| Total Medicare Charges at DRG | $1,806,102,466 | |||
| Total Medicare Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $733,294 | |||
| Avg Charges at DRG | $47,515 | |||
| Avg Charges with ICD N403 - Nodular prostate with lower urinary tract symptoms | $56,407 | |||
| Mortality Rate at DRG | 0.21 | |||
| Mortality Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | |||
| SNF Discharge Rate at DRG | 11.1 | |||
| SNF Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA | |||
| Home Discharge Rate at DRG | 70.22 | |||
| Home Discharge Rate with ICD N403 - Nodular prostate with lower urinary tract symptoms | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ST. CLOUD HOSPITAL | 1406 6TH AVE NORTH | SAINT CLOUD | MN | 56303 | 27 |
| DOUGLAS COUNTY HOSPITAL | 111 17TH AVE E | ALEXANDRIA | MN | 56308 | 22 |
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL BERTNICE SCOTT | 3637 MARTIN LUTHER KING JR BLVD | LYNWOOD | CA | 90262 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | N138 | Other obstructive and reflux uropathy |
| 2 | I10 | Essential (primary) hypertension |