*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| N421 - Congestion and hemorrhage of prostate - as a primary diagnosis code | N421 - Congestion and hemorrhage of prostate - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.57 | |
| Readmission Rate (%) | 23.77 | |
| Unplanned Readmission Rate (%) | 16.55 | |
| 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 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) | 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) | DRG 730: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,330 | ||||
| Total Hospitalizations with ICD N421 - Congestion and hemorrhage of prostate | 479 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N421 - Congestion and hemorrhage of prostate in DRG | 39.82 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD N421 - Congestion and hemorrhage of prostate | 5.11 | ||||
| Readmission Rate at DRG | 14.79 | ||||
| Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | 22.41 | ||||
| Unplanned Readmission Rate at DRG | 11.24 | ||||
| Unplanned Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | 16.59 | ||||
| Total Medicare payments at DRG | $155,091,532 | ||||
| Total Medicare payments with ICD N421 - Congestion and hemorrhage of prostate | $4,803,611 | ||||
| Total Medicare payment per Day at DRG | $2,304 | ||||
| Total Medicare payment per Day with ICD N421 - Congestion and hemorrhage of prostate | $1,963 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||||
| Total Medicare payment per Hospitalization with ICD N421 - Congestion and hemorrhage of prostate | $10,028 | ||||
| Total Medicare Charges at DRG | $834,175,007 | ||||
| Total Medicare Charges with ICD N421 - Congestion and hemorrhage of prostate | $26,080,591 | ||||
| Avg Charges at DRG | $48,135 | ||||
| Avg Charges with ICD N421 - Congestion and hemorrhage of prostate | $54,448 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| SNF Discharge Rate at DRG | 11.4 | ||||
| SNF Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 17.75 | ||||
| Home Discharge Rate at DRG | 70.23 | ||||
| Home Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 56.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,015 | ||
| Total Hospitalizations with ICD N421 - Congestion and hemorrhage of prostate | 35 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD N421 - Congestion and hemorrhage of prostate in DRG | 2.91 | ||
| Avg LOS at DRG | 2.67 | ||
| Avg LOS with ICD N421 - Congestion and hemorrhage of prostate | 2.97 | ||
| Readmission Rate at DRG | 8.41 | ||
| Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||
| Unplanned Readmission Rate at DRG | 5.17 | ||
| Unplanned Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||
| Total Medicare payments at DRG | $6,329,872 | ||
| Total Medicare payments with ICD N421 - Congestion and hemorrhage of prostate | $226,418 | ||
| Total Medicare payment per Day at DRG | $2,331 | ||
| Total Medicare payment per Day with ICD N421 - Congestion and hemorrhage of prostate | $2,177 | ||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||
| Total Medicare payment per Hospitalization with ICD N421 - Congestion and hemorrhage of prostate | $6,469 | ||
| Total Medicare Charges at DRG | $50,134,059 | ||
| Total Medicare Charges with ICD N421 - Congestion and hemorrhage of prostate | $1,220,834 | ||
| Avg Charges at DRG | $49,393 | ||
| Avg Charges with ICD N421 - Congestion and hemorrhage of prostate | $34,881 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||
| SNF Discharge Rate at DRG | 3.25 | ||
| SNF Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||
| Home Discharge Rate at DRG | 82.07 | ||
| Home Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 80.0 |
*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) | 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) | DRG 666: PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,330 | ||||
| Total Hospitalizations with ICD N421 - Congestion and hemorrhage of prostate | 618 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD N421 - Congestion and hemorrhage of prostate in DRG | 23.8 | ||||
| Avg LOS at DRG | 3.88 | ||||
| Avg LOS with ICD N421 - Congestion and hemorrhage of prostate | 5.22 | ||||
| Readmission Rate at DRG | 14.79 | ||||
| Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | 21.74 | ||||
| Unplanned Readmission Rate at DRG | 11.24 | ||||
| Unplanned Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | 16.05 | ||||
| Total Medicare payments at DRG | $155,091,532 | ||||
| Total Medicare payments with ICD N421 - Congestion and hemorrhage of prostate | $6,084,397 | ||||
| Total Medicare payment per Day at DRG | $2,304 | ||||
| Total Medicare payment per Day with ICD N421 - Congestion and hemorrhage of prostate | $1,887 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,949 | ||||
| Total Medicare payment per Hospitalization with ICD N421 - Congestion and hemorrhage of prostate | $9,845 | ||||
| Total Medicare Charges at DRG | $834,175,007 | ||||
| Total Medicare Charges with ICD N421 - Congestion and hemorrhage of prostate | $34,918,352 | ||||
| Avg Charges at DRG | $48,135 | ||||
| Avg Charges with ICD N421 - Congestion and hemorrhage of prostate | $56,502 | ||||
| Mortality Rate at DRG | 0.48 | ||||
| Mortality Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| SNF Discharge Rate at DRG | 11.4 | ||||
| SNF Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 16.34 | ||||
| Home Discharge Rate at DRG | 70.23 | ||||
| Home Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 56.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 730: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 665: PROSTATECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 663: MINOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 446 | ||||
| Total Hospitalizations with ICD N421 - Congestion and hemorrhage of prostate | 59 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD N421 - Congestion and hemorrhage of prostate in DRG | 2.27 | ||||
| Avg LOS at DRG | 2.32 | ||||
| Avg LOS with ICD N421 - Congestion and hemorrhage of prostate | 2.49 | ||||
| Readmission Rate at DRG | 15.66 | ||||
| Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | 24.56 | ||||
| Unplanned Readmission Rate at DRG | 9.88 | ||||
| Unplanned Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Total Medicare payments at DRG | $1,653,866 | ||||
| Total Medicare payments with ICD N421 - Congestion and hemorrhage of prostate | $201,761 | ||||
| Total Medicare payment per Day at DRG | $1,598 | ||||
| Total Medicare payment per Day with ICD N421 - Congestion and hemorrhage of prostate | $1,373 | ||||
| Total Medicare payment per Hospitalization at DRG | $3,708 | ||||
| Total Medicare payment per Hospitalization with ICD N421 - Congestion and hemorrhage of prostate | $3,420 | ||||
| Total Medicare Charges at DRG | $9,170,268 | ||||
| Total Medicare Charges with ICD N421 - Congestion and hemorrhage of prostate | $1,206,206 | ||||
| Avg Charges at DRG | $20,561 | ||||
| Avg Charges with ICD N421 - Congestion and hemorrhage of prostate | $20,444 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| SNF Discharge Rate at DRG | 9.64 | ||||
| SNF Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Home Discharge Rate at DRG | 73.99 | ||||
| Home Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 83.05 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 2,082 | ||||
| Total Hospitalizations with ICD N421 - Congestion and hemorrhage of prostate | 41 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD N421 - Congestion and hemorrhage of prostate in DRG | 1.58 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD N421 - Congestion and hemorrhage of prostate | 2.93 | ||||
| Readmission Rate at DRG | 12.91 | ||||
| Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Unplanned Readmission Rate at DRG | 9.95 | ||||
| Unplanned Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Total Medicare payments at DRG | $11,341,949 | ||||
| Total Medicare payments with ICD N421 - Congestion and hemorrhage of prostate | $225,614 | ||||
| Total Medicare payment per Day at DRG | $2,165 | ||||
| Total Medicare payment per Day with ICD N421 - Congestion and hemorrhage of prostate | $1,880 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,448 | ||||
| Total Medicare payment per Hospitalization with ICD N421 - Congestion and hemorrhage of prostate | $5,503 | ||||
| Total Medicare Charges at DRG | $71,598,808 | ||||
| Total Medicare Charges with ICD N421 - Congestion and hemorrhage of prostate | $1,591,898 | ||||
| Avg Charges at DRG | $34,389 | ||||
| Avg Charges with ICD N421 - Congestion and hemorrhage of prostate | $38,827 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| SNF Discharge Rate at DRG | 5.38 | ||||
| SNF Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Home Discharge Rate at DRG | 82.71 | ||||
| Home Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | 75.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 984: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 985: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 664: MINOR BLADDER 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 | 744 | ||||
| Total Hospitalizations with ICD N421 - Congestion and hemorrhage of prostate | 24 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD N421 - Congestion and hemorrhage of prostate in DRG | 0.92 | ||||
| Avg LOS at DRG | 12.36 | ||||
| Avg LOS with ICD N421 - Congestion and hemorrhage of prostate | 12.33 | ||||
| Readmission Rate at DRG | 33.38 | ||||
| Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | 54.55 | ||||
| Unplanned Readmission Rate at DRG | 22.35 | ||||
| Unplanned Readmission Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Total Medicare payments at DRG | $17,299,590 | ||||
| Total Medicare payments with ICD N421 - Congestion and hemorrhage of prostate | $579,546 | ||||
| Total Medicare payment per Day at DRG | $1,882 | ||||
| Total Medicare payment per Day with ICD N421 - Congestion and hemorrhage of prostate | $1,958 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,252 | ||||
| Total Medicare payment per Hospitalization with ICD N421 - Congestion and hemorrhage of prostate | $24,148 | ||||
| Total Medicare Charges at DRG | $83,652,472 | ||||
| Total Medicare Charges with ICD N421 - Congestion and hemorrhage of prostate | $2,898,189 | ||||
| Avg Charges at DRG | $112,436 | ||||
| Avg Charges with ICD N421 - Congestion and hemorrhage of prostate | $120,758 | ||||
| Mortality Rate at DRG | 4.44 | ||||
| Mortality Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| SNF Discharge Rate at DRG | 32.8 | ||||
| SNF Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | NA | ||||
| Home Discharge Rate at DRG | 27.82 | ||||
| Home Discharge Rate with ICD N421 - Congestion and hemorrhage of prostate | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ALEXIAN BROTHERS MEDICAL CENTER | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 26 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 24 |
| LEE MEMORIAL HOSPITAL | 2776 CLEVELAND AVE | FT MYERS | FL | 33901 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ARVIND SRINIVASAN | 140 N. SHERMAN CT | HAZLETON | PA | 18201 | 11 |