6021 - Congestion or hemorrhage of prostate - as a primary diagnosis code | 6021 - Congestion or hemorrhage of prostate - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 5.75 | |
Readmission Rate (%) | 21.01 | |
Unplanned Readmission Rate (%) | 15.37 | |
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 |
DRG 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY 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 713: TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,602 | ||||
Total Hospitalizations with ICD 6021 - Congestion or hemorrhage of prostate | 419 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD 6021 - Congestion or hemorrhage of prostate in DRG | 38.69 | ||||
Avg LOS at DRG | 7.08 | ||||
Avg LOS with ICD 6021 - Congestion or hemorrhage of prostate | 4.72 | ||||
Readmission Rate at DRG | 24.01 | ||||
Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | 23.13 | ||||
Unplanned Readmission Rate at DRG | 15.13 | ||||
Unplanned Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | 17.35 | ||||
Total Medicare payments at DRG | $20,229,699 | ||||
Total Medicare payments with ICD 6021 - Congestion or hemorrhage of prostate | $4,534,529 | ||||
Total Medicare payment per Day at DRG | $1,784 | ||||
Total Medicare payment per Day with ICD 6021 - Congestion or hemorrhage of prostate | $2,291 | ||||
Total Medicare payment per Hospitalization at DRG | $12,628 | ||||
Total Medicare payment per Hospitalization with ICD 6021 - Congestion or hemorrhage of prostate | $10,822 | ||||
Total Medicare Charges at DRG | $88,913,826 | ||||
Total Medicare Charges with ICD 6021 - Congestion or hemorrhage of prostate | $17,113,287 | ||||
Avg Charges at DRG | $55,502 | ||||
Avg Charges with ICD 6021 - Congestion or hemorrhage of prostate | $40,843 | ||||
Mortality Rate at DRG | 0.87 | ||||
Mortality Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
SNF Discharge Rate at DRG | 20.16 | ||||
SNF Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 17.42 | ||||
Home Discharge Rate at DRG | 49.19 | ||||
Home Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 59.9 |
DRG 730: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|
Total Hospitalizations at DRG | 387 |
Total Hospitalizations with ICD 6021 - Congestion or hemorrhage of prostate | 59 |
DRG Share of Total Hospitalizations | 0.0 |
% of Total ICD 6021 - Congestion or hemorrhage of prostate in DRG | 5.45 |
Avg LOS at DRG | 3.35 |
Avg LOS with ICD 6021 - Congestion or hemorrhage of prostate | 2.69 |
Readmission Rate at DRG | 18.41 |
Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA |
Unplanned Readmission Rate at DRG | 11.54 |
Unplanned Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA |
Total Medicare payments at DRG | $1,697,539 |
Total Medicare payments with ICD 6021 - Congestion or hemorrhage of prostate | $205,329 |
Total Medicare payment per Day at DRG | $1,309 |
Total Medicare payment per Day with ICD 6021 - Congestion or hemorrhage of prostate | $1,291 |
Total Medicare payment per Hospitalization at DRG | $4,386 |
Total Medicare payment per Hospitalization with ICD 6021 - Congestion or hemorrhage of prostate | $3,480 |
Total Medicare Charges at DRG | $7,645,440 |
Total Medicare Charges with ICD 6021 - Congestion or hemorrhage of prostate | $1,040,747 |
Avg Charges at DRG | $19,756 |
Avg Charges with ICD 6021 - Congestion or hemorrhage of prostate | $17,640 |
Mortality Rate at DRG | NA |
Mortality Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA |
SNF Discharge Rate at DRG | 12.14 |
SNF Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA |
Home Discharge Rate at DRG | 65.63 |
Home Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 74.58 |
DRG 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 1,602 | ||||
Total Hospitalizations with ICD 6021 - Congestion or hemorrhage of prostate | 501 | ||||
DRG Share of Total Hospitalizations | 0.01 | ||||
% of Total ICD 6021 - Congestion or hemorrhage of prostate in DRG | 17.16 | ||||
Avg LOS at DRG | 7.08 | ||||
Avg LOS with ICD 6021 - Congestion or hemorrhage of prostate | 4.81 | ||||
Readmission Rate at DRG | 24.01 | ||||
Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | 24.49 | ||||
Unplanned Readmission Rate at DRG | 15.13 | ||||
Unplanned Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | 18.22 | ||||
Total Medicare payments at DRG | $20,229,699 | ||||
Total Medicare payments with ICD 6021 - Congestion or hemorrhage of prostate | $5,415,748 | ||||
Total Medicare payment per Day at DRG | $1,784 | ||||
Total Medicare payment per Day with ICD 6021 - Congestion or hemorrhage of prostate | $2,246 | ||||
Total Medicare payment per Hospitalization at DRG | $12,628 | ||||
Total Medicare payment per Hospitalization with ICD 6021 - Congestion or hemorrhage of prostate | $10,810 | ||||
Total Medicare Charges at DRG | $88,913,826 | ||||
Total Medicare Charges with ICD 6021 - Congestion or hemorrhage of prostate | $20,809,261 | ||||
Avg Charges at DRG | $55,502 | ||||
Avg Charges with ICD 6021 - Congestion or hemorrhage of prostate | $41,535 | ||||
Mortality Rate at DRG | 0.87 | ||||
Mortality Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
SNF Discharge Rate at DRG | 20.16 | ||||
SNF Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 16.77 | ||||
Home Discharge Rate at DRG | 49.19 | ||||
Home Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 59.68 |
DRG 669: TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 985: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 666: PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 984: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH 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 | 29,083 | ||||
Total Hospitalizations with ICD 6021 - Congestion or hemorrhage of prostate | 114 | ||||
DRG Share of Total Hospitalizations | 0.13 | ||||
% of Total ICD 6021 - Congestion or hemorrhage of prostate in DRG | 3.9 | ||||
Avg LOS at DRG | 4.01 | ||||
Avg LOS with ICD 6021 - Congestion or hemorrhage of prostate | 5.17 | ||||
Readmission Rate at DRG | 17.1 | ||||
Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | 26.79 | ||||
Unplanned Readmission Rate at DRG | 11.97 | ||||
Unplanned Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | 18.75 | ||||
Total Medicare payments at DRG | $223,452,404 | ||||
Total Medicare payments with ICD 6021 - Congestion or hemorrhage of prostate | $923,661 | ||||
Total Medicare payment per Day at DRG | $1,915 | ||||
Total Medicare payment per Day with ICD 6021 - Congestion or hemorrhage of prostate | $1,568 | ||||
Total Medicare payment per Hospitalization at DRG | $7,683 | ||||
Total Medicare payment per Hospitalization with ICD 6021 - Congestion or hemorrhage of prostate | $8,102 | ||||
Total Medicare Charges at DRG | $1,174,862,912 | ||||
Total Medicare Charges with ICD 6021 - Congestion or hemorrhage of prostate | $4,601,896 | ||||
Avg Charges at DRG | $40,397 | ||||
Avg Charges with ICD 6021 - Congestion or hemorrhage of prostate | $40,368 | ||||
Mortality Rate at DRG | 0.23 | ||||
Mortality Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
SNF Discharge Rate at DRG | 11.67 | ||||
SNF Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 22.81 | ||||
Home Discharge Rate at DRG | 70.99 | ||||
Home Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 55.26 |
DRG 670: TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 663: MINOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 667: PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 986: PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 7,742 | ||||
Total Hospitalizations with ICD 6021 - Congestion or hemorrhage of prostate | 57 | ||||
DRG Share of Total Hospitalizations | 0.03 | ||||
% of Total ICD 6021 - Congestion or hemorrhage of prostate in DRG | 1.95 | ||||
Avg LOS at DRG | 2.53 | ||||
Avg LOS with ICD 6021 - Congestion or hemorrhage of prostate | 2.82 | ||||
Readmission Rate at DRG | 13.33 | ||||
Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
Unplanned Readmission Rate at DRG | 8.87 | ||||
Unplanned Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
Total Medicare payments at DRG | $37,895,353 | ||||
Total Medicare payments with ICD 6021 - Congestion or hemorrhage of prostate | $271,606 | ||||
Total Medicare payment per Day at DRG | $1,933 | ||||
Total Medicare payment per Day with ICD 6021 - Congestion or hemorrhage of prostate | $1,687 | ||||
Total Medicare payment per Hospitalization at DRG | $4,895 | ||||
Total Medicare payment per Hospitalization with ICD 6021 - Congestion or hemorrhage of prostate | $4,765 | ||||
Total Medicare Charges at DRG | $223,680,249 | ||||
Total Medicare Charges with ICD 6021 - Congestion or hemorrhage of prostate | $1,615,918 | ||||
Avg Charges at DRG | $28,892 | ||||
Avg Charges with ICD 6021 - Congestion or hemorrhage of prostate | $28,349 | ||||
Mortality Rate at DRG | NA | ||||
Mortality Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
SNF Discharge Rate at DRG | 6.28 | ||||
SNF Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
Home Discharge Rate at DRG | 82.37 | ||||
Home Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 78.95 |
DRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 668: TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 665: PROSTATECTOMY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 65,391 | ||||
Total Hospitalizations with ICD 6021 - Congestion or hemorrhage of prostate | 40 | ||||
DRG Share of Total Hospitalizations | 0.29 | ||||
% of Total ICD 6021 - Congestion or hemorrhage of prostate in DRG | 1.37 | ||||
Avg LOS at DRG | 4.44 | ||||
Avg LOS with ICD 6021 - Congestion or hemorrhage of prostate | 3.83 | ||||
Readmission Rate at DRG | 25.11 | ||||
Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
Unplanned Readmission Rate at DRG | 17.33 | ||||
Unplanned Readmission Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
Total Medicare payments at DRG | $440,473,524 | ||||
Total Medicare payments with ICD 6021 - Congestion or hemorrhage of prostate | $237,859 | ||||
Total Medicare payment per Day at DRG | $1,517 | ||||
Total Medicare payment per Day with ICD 6021 - Congestion or hemorrhage of prostate | $1,555 | ||||
Total Medicare payment per Hospitalization at DRG | $6,736 | ||||
Total Medicare payment per Hospitalization with ICD 6021 - Congestion or hemorrhage of prostate | $5,946 | ||||
Total Medicare Charges at DRG | $2,010,786,421 | ||||
Total Medicare Charges with ICD 6021 - Congestion or hemorrhage of prostate | $1,266,556 | ||||
Avg Charges at DRG | $30,750 | ||||
Avg Charges with ICD 6021 - Congestion or hemorrhage of prostate | $31,664 | ||||
Mortality Rate at DRG | 0.36 | ||||
Mortality Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
SNF Discharge Rate at DRG | 19.61 | ||||
SNF Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | NA | ||||
Home Discharge Rate at DRG | 51.17 | ||||
Home Discharge Rate with ICD 6021 - Congestion or hemorrhage of prostate | 52.5 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 20 |
ALEXIAN BROTHERS MEDICAL CENTER | 800 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 18 |
ELMHURST MEMORIAL HOSPITAL | 200 N BERTEAU AVE | ELMHURST | IL | 60126 | 15 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
---|---|---|---|---|---|
Dr. PETRAS V KISIELIUS | 1200 S YORK RD | ELMHURST | IL | 60126 | 11 |