*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R338 - Other retention of urine - as a primary diagnosis code | R338 - Other retention of urine - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.66 | |
| Readmission Rate (%) | 24.23 | |
| Unplanned Readmission Rate (%) | 14.44 | |
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 695: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 666: PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 667: PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 23,141 | ||||
| Total Hospitalizations with ICD R338 - Other retention of urine | 792 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD R338 - Other retention of urine in DRG | 60.88 | ||||
| Avg LOS at DRG | 2.84 | ||||
| Avg LOS with ICD R338 - Other retention of urine | 2.95 | ||||
| Readmission Rate at DRG | 20.27 | ||||
| Readmission Rate with ICD R338 - Other retention of urine | 19.31 | ||||
| Unplanned Readmission Rate at DRG | 15.25 | ||||
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | 11.77 | ||||
| Total Medicare payments at DRG | $96,280,494 | ||||
| Total Medicare payments with ICD R338 - Other retention of urine | $3,349,570 | ||||
| Total Medicare payment per Day at DRG | $1,467 | ||||
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $1,432 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,161 | ||||
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $4,229 | ||||
| Total Medicare Charges at DRG | $500,411,349 | ||||
| Total Medicare Charges with ICD R338 - Other retention of urine | $16,092,837 | ||||
| Avg Charges at DRG | $21,624 | ||||
| Avg Charges with ICD R338 - Other retention of urine | $20,319 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD R338 - Other retention of urine | NA | ||||
| SNF Discharge Rate at DRG | 15.28 | ||||
| SNF Discharge Rate with ICD R338 - Other retention of urine | 19.07 | ||||
| Home Discharge Rate at DRG | 59.05 | ||||
| Home Discharge Rate with ICD R338 - Other retention of urine | 53.16 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 663: MINOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 664: MINOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 670: TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 989: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,029 | ||||
| Total Hospitalizations with ICD R338 - Other retention of urine | 23 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD R338 - Other retention of urine in DRG | 1.77 | ||||
| Avg LOS at DRG | 4.97 | ||||
| Avg LOS with ICD R338 - Other retention of urine | 5.17 | ||||
| Readmission Rate at DRG | 22.5 | ||||
| Readmission Rate with ICD R338 - Other retention of urine | NA | ||||
| Unplanned Readmission Rate at DRG | 17.0 | ||||
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | NA | ||||
| Total Medicare payments at DRG | $42,294,003 | ||||
| Total Medicare payments with ICD R338 - Other retention of urine | $254,768 | ||||
| Total Medicare payment per Day at DRG | $2,111 | ||||
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $2,141 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,497 | ||||
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $11,077 | ||||
| Total Medicare Charges at DRG | $222,340,941 | ||||
| Total Medicare Charges with ICD R338 - Other retention of urine | $1,118,989 | ||||
| Avg Charges at DRG | $55,185 | ||||
| Avg Charges with ICD R338 - Other retention of urine | $48,652 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD R338 - Other retention of urine | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD R338 - Other retention of urine | NA | ||||
| Home Discharge Rate at DRG | 54.46 | ||||
| Home Discharge Rate with ICD R338 - Other retention of urine | 60.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 11,723 |
| Total Hospitalizations with ICD R338 - Other retention of urine | 11 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD R338 - Other retention of urine in DRG | 0.85 |
| Avg LOS at DRG | 3.14 |
| Avg LOS with ICD R338 - Other retention of urine | 1.27 |
| Readmission Rate at DRG | 12.89 |
| Readmission Rate with ICD R338 - Other retention of urine | NA |
| Unplanned Readmission Rate at DRG | 7.1 |
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | NA |
| Total Medicare payments at DRG | $122,697,695 |
| Total Medicare payments with ICD R338 - Other retention of urine | $89,950 |
| Total Medicare payment per Day at DRG | $3,328 |
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $6,425 |
| Total Medicare payment per Hospitalization at DRG | $10,466 |
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $8,177 |
| Total Medicare Charges at DRG | $633,485,759 |
| Total Medicare Charges with ICD R338 - Other retention of urine | $544,318 |
| Avg Charges at DRG | $54,038 |
| Avg Charges with ICD R338 - Other retention of urine | $49,483 |
| Mortality Rate at DRG | 0.25 |
| Mortality Rate with ICD R338 - Other retention of urine | NA |
| SNF Discharge Rate at DRG | 9.06 |
| SNF Discharge Rate with ICD R338 - Other retention of urine | NA |
| Home Discharge Rate at DRG | 70.16 |
| Home Discharge Rate with ICD R338 - Other retention of urine | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL DR. SUSONI | 55 CALLE PALMA | ARECIBO | PR | 00612 | 12 |
*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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R338 - Other retention of urine | 26,863 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R338 - Other retention of urine in DRG | 6.28 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R338 - Other retention of urine | 7.32 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R338 - Other retention of urine | 26.03 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | 17.99 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R338 - Other retention of urine | $331,760,828 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $1,687 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $12,350 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R338 - Other retention of urine | $1,697,307,634 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R338 - Other retention of urine | $63,184 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R338 - Other retention of urine | 6.48 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R338 - Other retention of urine | 38.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R338 - Other retention of urine | 18.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD R338 - Other retention of urine | 12,131 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD R338 - Other retention of urine in DRG | 2.83 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD R338 - Other retention of urine | 3.87 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD R338 - Other retention of urine | 19.14 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | 13.47 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD R338 - Other retention of urine | $62,666,790 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $5,166 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD R338 - Other retention of urine | $318,770,210 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD R338 - Other retention of urine | $26,277 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD R338 - Other retention of urine | 0.14 | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD R338 - Other retention of urine | 25.22 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD R338 - Other retention of urine | 42.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,839 | ||||
| Total Hospitalizations with ICD R338 - Other retention of urine | 5,960 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD R338 - Other retention of urine in DRG | 1.39 | ||||
| Avg LOS at DRG | 3.13 | ||||
| Avg LOS with ICD R338 - Other retention of urine | 3.12 | ||||
| Readmission Rate at DRG | 20.94 | ||||
| Readmission Rate with ICD R338 - Other retention of urine | 21.87 | ||||
| Unplanned Readmission Rate at DRG | 14.96 | ||||
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | 15.31 | ||||
| Total Medicare payments at DRG | $39,101,483 | ||||
| Total Medicare payments with ICD R338 - Other retention of urine | $26,528,478 | ||||
| Total Medicare payment per Day at DRG | $1,414 | ||||
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||||
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $4,451 | ||||
| Total Medicare Charges at DRG | $210,651,973 | ||||
| Total Medicare Charges with ICD R338 - Other retention of urine | $140,601,298 | ||||
| Avg Charges at DRG | $23,832 | ||||
| Avg Charges with ICD R338 - Other retention of urine | $23,591 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD R338 - Other retention of urine | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R338 - Other retention of urine | 18.81 | ||||
| Home Discharge Rate at DRG | 55.62 | ||||
| Home Discharge Rate with ICD R338 - Other retention of urine | 52.48 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD R338 - Other retention of urine | 4,109 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD R338 - Other retention of urine in DRG | 0.96 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD R338 - Other retention of urine | 13.08 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD R338 - Other retention of urine | 13.49 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD R338 - Other retention of urine | 10.06 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD R338 - Other retention of urine | $80,032,382 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD R338 - Other retention of urine | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD R338 - Other retention of urine | $19,477 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD R338 - Other retention of urine | $207,591,911 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD R338 - Other retention of urine | $50,521 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD R338 - Other retention of urine | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD R338 - Other retention of urine | 22.83 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD R338 - Other retention of urine | 17.35 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,570 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 1,522 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,189 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL ALLEN TRESSLER | 2223 LIME KILN RD | GREEN BAY | WI | 54311 | 102 |
| Dr. JEFFREY CHARLES LAPEYROLERIE | 19250 BAGLEY RD | MIDDLEBURG HTS | OH | 44130 | 86 |
| Dr. JAMES NORTON GRACE | 2223 LIME KILN RD | GREEN BAY | WI | 54311 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 165 |
| Dr. JAMES PETER LITTLE | 1011 SPRING CREEK RD | CHATTANOOGA | TN | 37412 | 147 |
| Dr. BOSHENG QIU | 330 S GARFIELD AVE STE 248 | ALHAMBRA | CA | 91801 | 144 |