*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R351 - Nocturia - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 9.73 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R351 - Nocturia | 4,504 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R351 - Nocturia in DRG | 10.68 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R351 - Nocturia | 2.37 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R351 - Nocturia | 7.58 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R351 - Nocturia | 3.24 | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R351 - Nocturia | $53,435,610 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R351 - Nocturia | $4,999 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R351 - Nocturia | $11,864 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R351 - Nocturia | $276,704,674 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R351 - Nocturia | $61,435 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R351 - Nocturia | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R351 - Nocturia | 20.63 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R351 - Nocturia | 37.17 |
*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 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD R351 - Nocturia | 841 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD R351 - Nocturia in DRG | 1.99 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD R351 - Nocturia | 3.95 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD R351 - Nocturia | 11.79 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD R351 - Nocturia | 7.65 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD R351 - Nocturia | $5,420,260 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD R351 - Nocturia | $1,634 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD R351 - Nocturia | $6,445 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD R351 - Nocturia | $26,461,218 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD R351 - Nocturia | $31,464 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD R351 - Nocturia | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD R351 - Nocturia | 10.34 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD R351 - Nocturia | 63.38 |
*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 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 483: MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD R351 - Nocturia | 668 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD R351 - Nocturia in DRG | 1.58 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD R351 - Nocturia | 16.99 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD R351 - Nocturia | 21.98 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD R351 - Nocturia | 12.09 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD R351 - Nocturia | $8,652,051 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD R351 - Nocturia | $762 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD R351 - Nocturia | $12,952 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD R351 - Nocturia | $31,049,879 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD R351 - Nocturia | $46,482 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD R351 - Nocturia | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD R351 - Nocturia | 7.04 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD R351 - Nocturia | 75.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD R351 - Nocturia | 427 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R351 - Nocturia in DRG | 1.01 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R351 - Nocturia | 4.81 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R351 - Nocturia | 23.1 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R351 - Nocturia | 17.94 | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R351 - Nocturia | $3,370,381 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R351 - Nocturia | $1,642 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R351 - Nocturia | $7,893 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R351 - Nocturia | $14,370,048 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R351 - Nocturia | $33,654 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R351 - Nocturia | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R351 - Nocturia | 10.07 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R351 - Nocturia | 53.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 655 |
| KETTERING MEDICAL CENTER | 3535 SOUTHERN BLVD | KETTERING | OH | 45429 | 619 |
| CENTURA HEALTH-PORTER ADVENTIST HOSPITAL | 2525 S DOWNING ST | DENVER | CO | 80210 | 325 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD WAYNE FORSTER | 3205 WOODMAN DR | DAYTON | OH | 45420 | 217 |
| Dr. KENNETH P POHL | 5692 FAR HILLS AVE | DAYTON | OH | 45429 | 123 |
| Dr. CHARLIE C. YANG | 2535 S DOWNING ST | DENVER | CO | 80210 | 65 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RICHARD WAYNE FORSTER | 3205 WOODMAN DR | DAYTON | OH | 45420 | 216 |
| Dr. KENNETH P POHL | 5692 FAR HILLS AVE | DAYTON | OH | 45429 | 120 |
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 116 |