| 78831 - Urge incontinence - as a primary diagnosis code | 78831 - Urge incontinence - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.05 | |
| Readmission Rate (%) | 18.82 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 18,630 |
| Total Hospitalizations with ICD 78831 - Urge incontinence | 17 |
| DRG Share of Total Hospitalizations | 0.08 |
| % of Total ICD 78831 - Urge incontinence in DRG | 30.91 |
| Avg LOS at DRG | 3.08 |
| Avg LOS with ICD 78831 - Urge incontinence | 4.35 |
| Readmission Rate at DRG | 20.66 |
| Readmission Rate with ICD 78831 - Urge incontinence | NA |
| Unplanned Readmission Rate at DRG | 14.69 |
| Unplanned Readmission Rate with ICD 78831 - Urge incontinence | NA |
| Total Medicare payments at DRG | $77,317,875 |
| Total Medicare payments with ICD 78831 - Urge incontinence | $77,411 |
| Total Medicare payment per Day at DRG | $1,347 |
| Total Medicare payment per Day with ICD 78831 - Urge incontinence | $1,046 |
| Total Medicare payment per Hospitalization at DRG | $4,150 |
| Total Medicare payment per Hospitalization with ICD 78831 - Urge incontinence | $4,554 |
| Total Medicare Charges at DRG | $360,833,428 |
| Total Medicare Charges with ICD 78831 - Urge incontinence | $400,396 |
| Avg Charges at DRG | $19,368 |
| Avg Charges with ICD 78831 - Urge incontinence | $23,553 |
| Mortality Rate at DRG | 0.34 |
| Mortality Rate with ICD 78831 - Urge incontinence | NA |
| SNF Discharge Rate at DRG | 15.56 |
| SNF Discharge Rate with ICD 78831 - Urge incontinence | NA |
| Home Discharge Rate at DRG | 59.25 |
| Home Discharge Rate with ICD 78831 - Urge incontinence | NA |
| DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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 | 602,372 | ||||
| Total Hospitalizations with ICD 78831 - Urge incontinence | 2,801 | ||||
| DRG Share of Total Hospitalizations | 2.64 | ||||
| % of Total ICD 78831 - Urge incontinence in DRG | 8.46 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD 78831 - Urge incontinence | 14.26 | ||||
| Readmission Rate at DRG | 15.99 | ||||
| Readmission Rate with ICD 78831 - Urge incontinence | 12.08 | ||||
| Unplanned Readmission Rate at DRG | 12.22 | ||||
| Unplanned Readmission Rate with ICD 78831 - Urge incontinence | 9.59 | ||||
| Total Medicare payments at DRG | $11,047,686,856 | ||||
| Total Medicare payments with ICD 78831 - Urge incontinence | $54,932,013 | ||||
| Total Medicare payment per Day at DRG | $1,399 | ||||
| Total Medicare payment per Day with ICD 78831 - Urge incontinence | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $18,340 | ||||
| Total Medicare payment per Hospitalization with ICD 78831 - Urge incontinence | $19,612 | ||||
| Total Medicare Charges at DRG | $25,171,736,043 | ||||
| Total Medicare Charges with ICD 78831 - Urge incontinence | $136,064,407 | ||||
| Avg Charges at DRG | $41,788 | ||||
| Avg Charges with ICD 78831 - Urge incontinence | $48,577 | ||||
| Mortality Rate at DRG | 0.21 | ||||
| Mortality Rate with ICD 78831 - Urge incontinence | NA | ||||
| SNF Discharge Rate at DRG | 17.37 | ||||
| SNF Discharge Rate with ICD 78831 - Urge incontinence | 19.1 | ||||
| Home Discharge Rate at DRG | 21.02 | ||||
| Home Discharge Rate with ICD 78831 - Urge incontinence | 23.03 |
| DRG 885: PSYCHOSES | 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) | DRG 946: REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 841,082 | ||||
| Total Hospitalizations with ICD 78831 - Urge incontinence | 658 | ||||
| DRG Share of Total Hospitalizations | 3.68 | ||||
| % of Total ICD 78831 - Urge incontinence in DRG | 1.99 | ||||
| Avg LOS at DRG | 11.58 | ||||
| Avg LOS with ICD 78831 - Urge incontinence | 14.74 | ||||
| Readmission Rate at DRG | 26.57 | ||||
| Readmission Rate with ICD 78831 - Urge incontinence | 19.97 | ||||
| Unplanned Readmission Rate at DRG | 13.06 | ||||
| Unplanned Readmission Rate with ICD 78831 - Urge incontinence | 10.62 | ||||
| Total Medicare payments at DRG | $6,792,290,994 | ||||
| Total Medicare payments with ICD 78831 - Urge incontinence | $7,172,762 | ||||
| Total Medicare payment per Day at DRG | $697 | ||||
| Total Medicare payment per Day with ICD 78831 - Urge incontinence | $739 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,076 | ||||
| Total Medicare payment per Hospitalization with ICD 78831 - Urge incontinence | $10,901 | ||||
| Total Medicare Charges at DRG | $21,353,545,675 | ||||
| Total Medicare Charges with ICD 78831 - Urge incontinence | $23,423,978 | ||||
| Avg Charges at DRG | $25,388 | ||||
| Avg Charges with ICD 78831 - Urge incontinence | $35,599 | ||||
| Mortality Rate at DRG | 0.05 | ||||
| Mortality Rate with ICD 78831 - Urge incontinence | NA | ||||
| SNF Discharge Rate at DRG | 6.24 | ||||
| SNF Discharge Rate with ICD 78831 - Urge incontinence | 11.25 | ||||
| Home Discharge Rate at DRG | 78.4 | ||||
| Home Discharge Rate with ICD 78831 - Urge incontinence | 68.09 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 78831 - Urge incontinence | 482 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 78831 - Urge incontinence in DRG | 1.46 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 78831 - Urge incontinence | 4.43 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 78831 - Urge incontinence | 20.34 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 78831 - Urge incontinence | 13.77 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 78831 - Urge incontinence | $2,888,219 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 78831 - Urge incontinence | $1,353 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 78831 - Urge incontinence | $5,992 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 78831 - Urge incontinence | $11,843,924 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 78831 - Urge incontinence | $24,572 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 78831 - Urge incontinence | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 78831 - Urge incontinence | 32.57 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 78831 - Urge incontinence | 40.87 |
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 78831 - Urge incontinence | 352 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 78831 - Urge incontinence in DRG | 1.06 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 78831 - Urge incontinence | 5.76 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 78831 - Urge incontinence | 26.87 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 78831 - Urge incontinence | 19.1 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 78831 - Urge incontinence | $3,380,381 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 78831 - Urge incontinence | $1,668 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 78831 - Urge incontinence | $9,603 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 78831 - Urge incontinence | $12,668,797 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 78831 - Urge incontinence | $35,991 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 78831 - Urge incontinence | 3.41 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 78831 - Urge incontinence | 29.26 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 78831 - Urge incontinence | 25.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 198 |
| COMMUNITY MEMORIAL HOSPITAL | W180 N 8085 TOWN HALL RD | MENOMONEE FALLS | WI | 53052 | 171 |
| NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL | 2650 RIDGE AVE | EVANSTON | IL | 60201 | 126 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RICHARD WAYNE FORSTER | 3205 WOODMAN DR | DAYTON | OH | 45420 | 24 |
| Dr. DANIELE RIGAMONTI | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 23 |
| Dr. SHANE J. BURR | 908 N HOWARD AVE | GRAND ISLAND | NE | 68803 | 16 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. BALARAJU GANDHAVADI | W180N8085 TOWN HALL RD | MENOMONEE FALLS | WI | 53051 | 125 |
| Dr. DOUGLAS JAMES BRUNNER | 175 E CHESTER PIKE | RIDLEY PARK | PA | 19078 | 37 |
| Dr. JOEL C BOLEN | 1230 CARMICHAEL WAY | MONTGOMERY | AL | 36106 | 36 |