*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N420 - Calculus of prostate - as a primary diagnosis code | N420 - Calculus of prostate - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.98 | |
| Readmission Rate (%) | 15.71 | |
| 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 729: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 17,330 | |
| Total Hospitalizations with ICD N420 - Calculus of prostate | 16 | |
| DRG Share of Total Hospitalizations | 0.05 | |
| % of Total ICD N420 - Calculus of prostate in DRG | 29.63 | |
| Avg LOS at DRG | 3.88 | |
| Avg LOS with ICD N420 - Calculus of prostate | 3.38 | |
| Readmission Rate at DRG | 14.79 | |
| Readmission Rate with ICD N420 - Calculus of prostate | NA | |
| Unplanned Readmission Rate at DRG | 11.24 | |
| Unplanned Readmission Rate with ICD N420 - Calculus of prostate | NA | |
| Total Medicare payments at DRG | $155,091,532 | |
| Total Medicare payments with ICD N420 - Calculus of prostate | $138,644 | |
| Total Medicare payment per Day at DRG | $2,304 | |
| Total Medicare payment per Day with ICD N420 - Calculus of prostate | $2,567 | |
| Total Medicare payment per Hospitalization at DRG | $8,949 | |
| Total Medicare payment per Hospitalization with ICD N420 - Calculus of prostate | $8,665 | |
| Total Medicare Charges at DRG | $834,175,007 | |
| Total Medicare Charges with ICD N420 - Calculus of prostate | $720,875 | |
| Avg Charges at DRG | $48,135 | |
| Avg Charges with ICD N420 - Calculus of prostate | $45,055 | |
| Mortality Rate at DRG | 0.48 | |
| Mortality Rate with ICD N420 - Calculus of prostate | NA | |
| SNF Discharge Rate at DRG | 11.4 | |
| SNF Discharge Rate with ICD N420 - Calculus of prostate | NA | |
| Home Discharge Rate at DRG | 70.23 | |
| Home Discharge Rate with ICD N420 - Calculus of prostate | 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 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 666: PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,330 | ||||
| Total Hospitalizations with ICD N420 - Calculus of prostate | 181 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N420 - Calculus of prostate in DRG | 21.02 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD N420 - Calculus of prostate | 3.48 | ||||
| Readmission Rate at DRG | 14.79 | ||||
| Readmission Rate with ICD N420 - Calculus of prostate | 11.24 | ||||
| Unplanned Readmission Rate at DRG | 11.24 | ||||
| Unplanned Readmission Rate with ICD N420 - Calculus of prostate | 9.55 | ||||
| Total Medicare payments at DRG | $155,091,532 | ||||
| Total Medicare payments with ICD N420 - Calculus of prostate | $1,415,034 | ||||
| Total Medicare payment per Day at DRG | $2,304 | ||||
| Total Medicare payment per Day with ICD N420 - Calculus of prostate | $2,246 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||||
| Total Medicare payment per Hospitalization with ICD N420 - Calculus of prostate | $7,818 | ||||
| Total Medicare Charges at DRG | $834,175,007 | ||||
| Total Medicare Charges with ICD N420 - Calculus of prostate | $7,385,462 | ||||
| Avg Charges at DRG | $48,135 | ||||
| Avg Charges with ICD N420 - Calculus of prostate | $40,804 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD N420 - Calculus of prostate | NA | ||||
| SNF Discharge Rate at DRG | 11.4 | ||||
| SNF Discharge Rate with ICD N420 - Calculus of prostate | 9.94 | ||||
| Home Discharge Rate at DRG | 70.23 | ||||
| Home Discharge Rate with ICD N420 - Calculus of prostate | 75.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 667: PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 694: URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 665: PROSTATECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,082 | ||||
| Total Hospitalizations with ICD N420 - Calculus of prostate | 21 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N420 - Calculus of prostate in DRG | 2.44 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD N420 - Calculus of prostate | 2.1 | ||||
| Readmission Rate at DRG | 12.91 | ||||
| Readmission Rate with ICD N420 - Calculus of prostate | NA | ||||
| Unplanned Readmission Rate at DRG | 9.95 | ||||
| Unplanned Readmission Rate with ICD N420 - Calculus of prostate | NA | ||||
| Total Medicare payments at DRG | $11,341,949 | ||||
| Total Medicare payments with ICD N420 - Calculus of prostate | $95,173 | ||||
| Total Medicare payment per Day at DRG | $2,165 | ||||
| Total Medicare payment per Day with ICD N420 - Calculus of prostate | $2,163 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,448 | ||||
| Total Medicare payment per Hospitalization with ICD N420 - Calculus of prostate | $4,532 | ||||
| Total Medicare Charges at DRG | $71,598,808 | ||||
| Total Medicare Charges with ICD N420 - Calculus of prostate | $636,706 | ||||
| Avg Charges at DRG | $34,389 | ||||
| Avg Charges with ICD N420 - Calculus of prostate | $30,319 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N420 - Calculus of prostate | NA | ||||
| SNF Discharge Rate at DRG | 5.38 | ||||
| SNF Discharge Rate with ICD N420 - Calculus of prostate | NA | ||||
| Home Discharge Rate at DRG | 82.71 | ||||
| Home Discharge Rate with ICD N420 - Calculus of prostate | 80.95 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 985: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,409 | ||||
| Total Hospitalizations with ICD N420 - Calculus of prostate | 17 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N420 - Calculus of prostate in DRG | 1.97 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD N420 - Calculus of prostate | 3.06 | ||||
| Readmission Rate at DRG | 19.08 | ||||
| Readmission Rate with ICD N420 - Calculus of prostate | NA | ||||
| Unplanned Readmission Rate at DRG | 12.4 | ||||
| Unplanned Readmission Rate with ICD N420 - Calculus of prostate | NA | ||||
| Total Medicare payments at DRG | $43,583,093 | ||||
| Total Medicare payments with ICD N420 - Calculus of prostate | $172,439 | ||||
| Total Medicare payment per Day at DRG | $2,016 | ||||
| Total Medicare payment per Day with ICD N420 - Calculus of prostate | $3,316 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,785 | ||||
| Total Medicare payment per Hospitalization with ICD N420 - Calculus of prostate | $10,143 | ||||
| Total Medicare Charges at DRG | $250,347,037 | ||||
| Total Medicare Charges with ICD N420 - Calculus of prostate | $584,972 | ||||
| Avg Charges at DRG | $73,437 | ||||
| Avg Charges with ICD N420 - Calculus of prostate | $34,410 | ||||
| Mortality Rate at DRG | 0.97 | ||||
| Mortality Rate with ICD N420 - Calculus of prostate | NA | ||||
| SNF Discharge Rate at DRG | 14.87 | ||||
| SNF Discharge Rate with ICD N420 - Calculus of prostate | NA | ||||
| Home Discharge Rate at DRG | 55.5 | ||||
| Home Discharge Rate with ICD N420 - Calculus of prostate | 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 729: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH 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 | 2,259 | |
| Total Hospitalizations with ICD N420 - Calculus of prostate | 12 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD N420 - Calculus of prostate in DRG | 1.39 | |
| Avg LOS at DRG | 4.39 | |
| Avg LOS with ICD N420 - Calculus of prostate | 2.67 | |
| Readmission Rate at DRG | 26.12 | |
| Readmission Rate with ICD N420 - Calculus of prostate | NA | |
| Unplanned Readmission Rate at DRG | 19.04 | |
| Unplanned Readmission Rate with ICD N420 - Calculus of prostate | NA | |
| Total Medicare payments at DRG | $16,533,932 | |
| Total Medicare payments with ICD N420 - Calculus of prostate | $87,918 | |
| Total Medicare payment per Day at DRG | $1,669 | |
| Total Medicare payment per Day with ICD N420 - Calculus of prostate | $2,747 | |
| Total Medicare payment per Hospitalization at DRG | $7,319 | |
| Total Medicare payment per Hospitalization with ICD N420 - Calculus of prostate | $7,327 | |
| Total Medicare Charges at DRG | $77,952,013 | |
| Total Medicare Charges with ICD N420 - Calculus of prostate | $571,545 | |
| Avg Charges at DRG | $34,507 | |
| Avg Charges with ICD N420 - Calculus of prostate | $47,629 | |
| Mortality Rate at DRG | 0.75 | |
| Mortality Rate with ICD N420 - Calculus of prostate | NA | |
| SNF Discharge Rate at DRG | 17.26 | |
| SNF Discharge Rate with ICD N420 - Calculus of prostate | NA | |
| Home Discharge Rate at DRG | 50.64 | |
| Home Discharge Rate with ICD N420 - Calculus of prostate | NA |