*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z8546 - Personal history of malignant neoplasm of prostate - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.81 | |
| 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 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE 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 Z8546 - Personal history of malignant neoplasm of prostate | 45,579 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z8546 - Personal history of malignant neoplasm of prostate in DRG | 5.23 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z8546 - Personal history of malignant neoplasm of prostate | 5.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 22.19 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 15.2 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z8546 - Personal history of malignant neoplasm of prostate | $524,348,849 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z8546 - Personal history of malignant neoplasm of prostate | $1,979 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z8546 - Personal history of malignant neoplasm of prostate | $11,504 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $2,427,377,486 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $53,256 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 11.4 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 25.8 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 27.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD Z8546 - Personal history of malignant neoplasm of prostate | 13,515 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD Z8546 - Personal history of malignant neoplasm of prostate in DRG | 1.55 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD Z8546 - Personal history of malignant neoplasm of prostate | 3.93 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 23.07 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 16.77 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD Z8546 - Personal history of malignant neoplasm of prostate | $76,690,187 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD Z8546 - Personal history of malignant neoplasm of prostate | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD Z8546 - Personal history of malignant neoplasm of prostate | $5,674 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $401,261,286 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $29,690 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 1.0 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 22.18 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 45.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD Z8546 - Personal history of malignant neoplasm of prostate | 11,641 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD Z8546 - Personal history of malignant neoplasm of prostate in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD Z8546 - Personal history of malignant neoplasm of prostate | 3.95 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 22.68 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 17.34 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD Z8546 - Personal history of malignant neoplasm of prostate | $69,504,559 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD Z8546 - Personal history of malignant neoplasm of prostate | $1,510 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD Z8546 - Personal history of malignant neoplasm of prostate | $5,971 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $324,182,419 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $27,848 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 1.0 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 15.21 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 47.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,438 | ||||
| Total Hospitalizations with ICD Z8546 - Personal history of malignant neoplasm of prostate | 9,330 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD Z8546 - Personal history of malignant neoplasm of prostate in DRG | 1.07 | ||||
| Avg LOS at DRG | 2.51 | ||||
| Avg LOS with ICD Z8546 - Personal history of malignant neoplasm of prostate | 2.48 | ||||
| Readmission Rate at DRG | 10.86 | ||||
| Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 10.58 | ||||
| Unplanned Readmission Rate at DRG | 8.03 | ||||
| Unplanned Readmission Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 8.02 | ||||
| Total Medicare payments at DRG | $3,352,957,239 | ||||
| Total Medicare payments with ICD Z8546 - Personal history of malignant neoplasm of prostate | $117,781,218 | ||||
| Total Medicare payment per Day at DRG | $4,952 | ||||
| Total Medicare payment per Day with ICD Z8546 - Personal history of malignant neoplasm of prostate | $5,101 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,444 | ||||
| Total Medicare payment per Hospitalization with ICD Z8546 - Personal history of malignant neoplasm of prostate | $12,624 | ||||
| Total Medicare Charges at DRG | $22,958,558,443 | ||||
| Total Medicare Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $798,833,771 | ||||
| Avg Charges at DRG | $85,209 | ||||
| Avg Charges with ICD Z8546 - Personal history of malignant neoplasm of prostate | $85,620 | ||||
| Mortality Rate at DRG | 0.31 | ||||
| Mortality Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 0.23 | ||||
| SNF Discharge Rate at DRG | 2.62 | ||||
| SNF Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 2.21 | ||||
| Home Discharge Rate at DRG | 88.57 | ||||
| Home Discharge Rate with ICD Z8546 - Personal history of malignant neoplasm of prostate | 89.44 |
| 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 | 2,642 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 2,492 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 2,382 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. EDWARD J STOLARSKI | 6050 CATTLERIDGE BLVD STE 201 | SARASOTA | FL | 34232 | 126 |
| Dr. RAJ R MAKKAR | 8700 WILSHIRE BLVD. | LOS ANGELES | CA | 90048 | 116 |
| Dr. ANDREW GLEN YUN | 13160 MINDANAO WAY | MARINA DEL REY | CA | 90292 | 114 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 270 |
| Dr. BAQIR M SYED | 1926 10TH AVE N | LAKE WORTH | FL | 33461 | 214 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 194 |