*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N419 - Inflammatory disease of prostate, unspecified - as a primary diagnosis code | N419 - Inflammatory disease of prostate, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.3 | |
| Readmission Rate (%) | 17.84 | |
| Unplanned Readmission Rate (%) | 9.55 | |
| 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 728: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 727: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 713: TRANSURETHRAL PROSTATECTOMY 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 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,924 | ||||
| Total Hospitalizations with ICD N419 - Inflammatory disease of prostate, unspecified | 1,231 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N419 - Inflammatory disease of prostate, unspecified in DRG | 76.6 | ||||
| Avg LOS at DRG | 3.81 | ||||
| Avg LOS with ICD N419 - Inflammatory disease of prostate, unspecified | 3.06 | ||||
| Readmission Rate at DRG | 13.27 | ||||
| Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 12.55 | ||||
| Unplanned Readmission Rate at DRG | 9.29 | ||||
| Unplanned Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 8.68 | ||||
| Total Medicare payments at DRG | $80,053,630 | ||||
| Total Medicare payments with ICD N419 - Inflammatory disease of prostate, unspecified | $5,599,088 | ||||
| Total Medicare payment per Day at DRG | $1,320 | ||||
| Total Medicare payment per Day with ICD N419 - Inflammatory disease of prostate, unspecified | $1,486 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,027 | ||||
| Total Medicare payment per Hospitalization with ICD N419 - Inflammatory disease of prostate, unspecified | $4,548 | ||||
| Total Medicare Charges at DRG | $417,459,094 | ||||
| Total Medicare Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $28,390,751 | ||||
| Avg Charges at DRG | $26,216 | ||||
| Avg Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $23,063 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD N419 - Inflammatory disease of prostate, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 12.11 | ||||
| SNF Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 9.18 | ||||
| Home Discharge Rate at DRG | 63.93 | ||||
| Home Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 74.49 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 728: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD N419 - Inflammatory disease of prostate, unspecified | 3,203 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD N419 - Inflammatory disease of prostate, unspecified in DRG | 15.87 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD N419 - Inflammatory disease of prostate, unspecified | 3.84 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 9.67 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 6.35 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD N419 - Inflammatory disease of prostate, unspecified | $19,576,737 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD N419 - Inflammatory disease of prostate, unspecified | $1,592 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD N419 - Inflammatory disease of prostate, unspecified | $6,112 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $100,400,844 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $31,346 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD N419 - Inflammatory disease of prostate, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 8.74 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 69.78 |
*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 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 727: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD N419 - Inflammatory disease of prostate, unspecified | 462 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD N419 - Inflammatory disease of prostate, unspecified in DRG | 2.29 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD N419 - Inflammatory disease of prostate, unspecified | 5.12 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 19.82 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 13.74 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD N419 - Inflammatory disease of prostate, unspecified | $3,089,357 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD N419 - Inflammatory disease of prostate, unspecified | $1,305 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD N419 - Inflammatory disease of prostate, unspecified | $6,687 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $16,232,550 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $35,135 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD N419 - Inflammatory disease of prostate, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 26.62 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 40.48 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD N419 - Inflammatory disease of prostate, unspecified | 278 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD N419 - Inflammatory disease of prostate, unspecified in DRG | 1.38 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD N419 - Inflammatory disease of prostate, unspecified | 12.0 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 32.44 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 14.89 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD N419 - Inflammatory disease of prostate, unspecified | $2,553,427 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD N419 - Inflammatory disease of prostate, unspecified | $766 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD N419 - Inflammatory disease of prostate, unspecified | $9,185 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $8,947,877 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $32,187 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD N419 - Inflammatory disease of prostate, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 6.47 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 77.34 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD N419 - Inflammatory disease of prostate, unspecified | 207 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD N419 - Inflammatory disease of prostate, unspecified in DRG | 1.03 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD N419 - Inflammatory disease of prostate, unspecified | 6.43 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 34.41 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 21.51 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD N419 - Inflammatory disease of prostate, unspecified | $1,987,052 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD N419 - Inflammatory disease of prostate, unspecified | $1,492 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD N419 - Inflammatory disease of prostate, unspecified | $9,599 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $10,913,888 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD N419 - Inflammatory disease of prostate, unspecified | $52,724 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD N419 - Inflammatory disease of prostate, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 25.12 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD N419 - Inflammatory disease of prostate, unspecified | 33.33 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 104 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 84 |
| SOUTH LAKE HOSPITAL | 1900 DON WICKHAM DR | CLERMONT | FL | 34711 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EUGENE VICTOR HUDMAN | 6250 REGIONAL PLZ | ABILENE | TX | 79606 | 18 |
| Dr. JAMES LE THANH TRAN | 4004 WOODLAWN AVE | PASADENA | TX | 77504 | 17 |
| Dr. VENKATAPURAM RAMESH REDDY | 42320 HIGHWAY 195 | HALEYVILLE | AL | 35565 | 16 |