*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R3912 - Poor urinary stream - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 11.04 | |
| 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 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,522,684 | ||||
| Total Hospitalizations with ICD R3912 - Poor urinary stream | 384 | ||||
| DRG Share of Total Hospitalizations | 4.63 | ||||
| % of Total ICD R3912 - Poor urinary stream in DRG | 5.05 | ||||
| Avg LOS at DRG | 2.52 | ||||
| Avg LOS with ICD R3912 - Poor urinary stream | 2.25 | ||||
| Readmission Rate at DRG | 9.03 | ||||
| Readmission Rate with ICD R3912 - Poor urinary stream | 6.54 | ||||
| Unplanned Readmission Rate at DRG | 3.35 | ||||
| Unplanned Readmission Rate with ICD R3912 - Poor urinary stream | NA | ||||
| Total Medicare payments at DRG | $17,672,828,347 | ||||
| Total Medicare payments with ICD R3912 - Poor urinary stream | $4,517,466 | ||||
| Total Medicare payment per Day at DRG | $4,606 | ||||
| Total Medicare payment per Day with ICD R3912 - Poor urinary stream | $5,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,606 | ||||
| Total Medicare payment per Hospitalization with ICD R3912 - Poor urinary stream | $11,764 | ||||
| Total Medicare Charges at DRG | $91,836,200,128 | ||||
| Total Medicare Charges with ICD R3912 - Poor urinary stream | $23,421,850 | ||||
| Avg Charges at DRG | $60,312 | ||||
| Avg Charges with ICD R3912 - Poor urinary stream | $60,994 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD R3912 - Poor urinary stream | NA | ||||
| SNF Discharge Rate at DRG | 23.53 | ||||
| SNF Discharge Rate with ICD R3912 - Poor urinary stream | 19.53 | ||||
| Home Discharge Rate at DRG | 30.67 | ||||
| Home Discharge Rate with ICD R3912 - Poor urinary stream | 39.84 |
*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 714: TRANSURETHRAL 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 707: MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD R3912 - Poor urinary stream | 237 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD R3912 - Poor urinary stream in DRG | 3.12 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD R3912 - Poor urinary stream | 5.59 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD R3912 - Poor urinary stream | 19.52 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD R3912 - Poor urinary stream | 12.86 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD R3912 - Poor urinary stream | $2,586,951 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD R3912 - Poor urinary stream | $1,951 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD R3912 - Poor urinary stream | $10,915 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD R3912 - Poor urinary stream | $11,410,399 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD R3912 - Poor urinary stream | $48,145 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD R3912 - Poor urinary stream | 4.64 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD R3912 - Poor urinary stream | 18.14 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD R3912 - Poor urinary stream | 42.62 |
*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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,839 | ||||
| Total Hospitalizations with ICD R3912 - Poor urinary stream | 91 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD R3912 - Poor urinary stream in DRG | 1.2 | ||||
| Avg LOS at DRG | 3.13 | ||||
| Avg LOS with ICD R3912 - Poor urinary stream | 2.58 | ||||
| Readmission Rate at DRG | 20.94 | ||||
| Readmission Rate with ICD R3912 - Poor urinary stream | 14.94 | ||||
| Unplanned Readmission Rate at DRG | 14.96 | ||||
| Unplanned Readmission Rate with ICD R3912 - Poor urinary stream | 12.64 | ||||
| Total Medicare payments at DRG | $39,101,483 | ||||
| Total Medicare payments with ICD R3912 - Poor urinary stream | $380,561 | ||||
| Total Medicare payment per Day at DRG | $1,414 | ||||
| Total Medicare payment per Day with ICD R3912 - Poor urinary stream | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,424 | ||||
| Total Medicare payment per Hospitalization with ICD R3912 - Poor urinary stream | $4,182 | ||||
| Total Medicare Charges at DRG | $210,651,973 | ||||
| Total Medicare Charges with ICD R3912 - Poor urinary stream | $2,184,148 | ||||
| Avg Charges at DRG | $23,832 | ||||
| Avg Charges with ICD R3912 - Poor urinary stream | $24,002 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD R3912 - Poor urinary stream | NA | ||||
| SNF Discharge Rate at DRG | 17.03 | ||||
| SNF Discharge Rate with ICD R3912 - Poor urinary stream | NA | ||||
| Home Discharge Rate at DRG | 55.62 | ||||
| Home Discharge Rate with ICD R3912 - Poor urinary stream | 81.32 |
*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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT 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 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 | 535,322 | ||||
| Total Hospitalizations with ICD R3912 - Poor urinary stream | 74 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD R3912 - Poor urinary stream in DRG | 0.97 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD R3912 - Poor urinary stream | 4.41 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD R3912 - Poor urinary stream | 20.29 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD R3912 - Poor urinary stream | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD R3912 - Poor urinary stream | $552,420 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD R3912 - Poor urinary stream | $1,695 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD R3912 - Poor urinary stream | $7,465 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD R3912 - Poor urinary stream | $2,520,999 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD R3912 - Poor urinary stream | $34,068 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD R3912 - Poor urinary stream | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD R3912 - Poor urinary stream | 18.92 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD R3912 - Poor urinary stream | 60.81 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI BETH ISRAEL | 3201 KINGS HWY | BROOKLYN | NY | 11234 | 94 |
| NORTHSIDE HOSPITAL FORSYTH | 1200 NORTHSIDE FORSYTH DR | CUMMING | GA | 30041 | 57 |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN | 2525 KINGS HWY | BROOKLYN | NY | 11229 | 46 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 53 |
| Dr. GANESH SIVARAJAN | 550 1ST AVE | NEW YORK | NY | 10016 | 19 |
| Dr. CHARLES ADAM DECOOK | 655 JESSE JEWELL PKWY SE | GAINESVILLE | GA | 30501 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 100 |
| Dr. STEVEN J. NOVACK | 4750 WATERS AVE | SAVANNAH | GA | 31404 | 30 |
| Dr. LUCINDA TRIPPE MYERS | 3000 HERRING AVE | WACO | TX | 76708 | 24 |