| V1046 - Personal history of malignant neoplasm of prostate - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 12.51 | |
| 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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 939,378 | ||||
| Total Hospitalizations with ICD V1046 - Personal history of malignant neoplasm of prostate | 26,670 | ||||
| DRG Share of Total Hospitalizations | 4.11 | ||||
| % of Total ICD V1046 - Personal history of malignant neoplasm of prostate in DRG | 4.62 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD V1046 - Personal history of malignant neoplasm of prostate | 3.03 | ||||
| Readmission Rate at DRG | 12.54 | ||||
| Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 12.57 | ||||
| Unplanned Readmission Rate at DRG | 3.52 | ||||
| Unplanned Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 3.99 | ||||
| Total Medicare payments at DRG | $11,301,359,598 | ||||
| Total Medicare payments with ICD V1046 - Personal history of malignant neoplasm of prostate | $323,619,237 | ||||
| Total Medicare payment per Day at DRG | $3,853 | ||||
| Total Medicare payment per Day with ICD V1046 - Personal history of malignant neoplasm of prostate | $4,003 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,031 | ||||
| Total Medicare payment per Hospitalization with ICD V1046 - Personal history of malignant neoplasm of prostate | $12,134 | ||||
| Total Medicare Charges at DRG | $51,993,364,479 | ||||
| Total Medicare Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $1,476,292,537 | ||||
| Avg Charges at DRG | $55,349 | ||||
| Avg Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $55,354 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 0.09 | ||||
| SNF Discharge Rate at DRG | 32.49 | ||||
| SNF Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 28.49 | ||||
| Home Discharge Rate at DRG | 21.06 | ||||
| Home Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 23.11 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH 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 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD V1046 - Personal history of malignant neoplasm of prostate | 10,316 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD V1046 - Personal history of malignant neoplasm of prostate in DRG | 1.79 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD V1046 - Personal history of malignant neoplasm of prostate | 4.31 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 18.56 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 13.02 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD V1046 - Personal history of malignant neoplasm of prostate | $62,212,441 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD V1046 - Personal history of malignant neoplasm of prostate | $1,399 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD V1046 - Personal history of malignant neoplasm of prostate | $6,031 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $278,174,901 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $26,965 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 1.34 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 18.74 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 50.97 |
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 285,530 | ||||
| Total Hospitalizations with ICD V1046 - Personal history of malignant neoplasm of prostate | 8,384 | ||||
| DRG Share of Total Hospitalizations | 1.25 | ||||
| % of Total ICD V1046 - Personal history of malignant neoplasm of prostate in DRG | 1.45 | ||||
| Avg LOS at DRG | 4.72 | ||||
| Avg LOS with ICD V1046 - Personal history of malignant neoplasm of prostate | 4.6 | ||||
| Readmission Rate at DRG | 18.55 | ||||
| Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 17.5 | ||||
| Unplanned Readmission Rate at DRG | 12.87 | ||||
| Unplanned Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 12.16 | ||||
| Total Medicare payments at DRG | $1,922,582,097 | ||||
| Total Medicare payments with ICD V1046 - Personal history of malignant neoplasm of prostate | $55,897,108 | ||||
| Total Medicare payment per Day at DRG | $1,427 | ||||
| Total Medicare payment per Day with ICD V1046 - Personal history of malignant neoplasm of prostate | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,733 | ||||
| Total Medicare payment per Hospitalization with ICD V1046 - Personal history of malignant neoplasm of prostate | $6,667 | ||||
| Total Medicare Charges at DRG | $8,696,353,387 | ||||
| Total Medicare Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $252,952,043 | ||||
| Avg Charges at DRG | $30,457 | ||||
| Avg Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $30,171 | ||||
| Mortality Rate at DRG | 2.4 | ||||
| Mortality Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 1.86 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 20.65 | ||||
| Home Discharge Rate at DRG | 44.6 | ||||
| Home Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 47.44 |
| DRG 247: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 184,433 | ||||
| Total Hospitalizations with ICD V1046 - Personal history of malignant neoplasm of prostate | 6,000 | ||||
| DRG Share of Total Hospitalizations | 0.81 | ||||
| % of Total ICD V1046 - Personal history of malignant neoplasm of prostate in DRG | 1.04 | ||||
| Avg LOS at DRG | 2.59 | ||||
| Avg LOS with ICD V1046 - Personal history of malignant neoplasm of prostate | 2.58 | ||||
| Readmission Rate at DRG | 11.03 | ||||
| Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 9.95 | ||||
| Unplanned Readmission Rate at DRG | 7.9 | ||||
| Unplanned Readmission Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 6.97 | ||||
| Total Medicare payments at DRG | $2,247,327,916 | ||||
| Total Medicare payments with ICD V1046 - Personal history of malignant neoplasm of prostate | $74,465,445 | ||||
| Total Medicare payment per Day at DRG | $4,713 | ||||
| Total Medicare payment per Day with ICD V1046 - Personal history of malignant neoplasm of prostate | $4,815 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,185 | ||||
| Total Medicare payment per Hospitalization with ICD V1046 - Personal history of malignant neoplasm of prostate | $12,411 | ||||
| Total Medicare Charges at DRG | $13,858,459,134 | ||||
| Total Medicare Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $454,066,658 | ||||
| Avg Charges at DRG | $75,141 | ||||
| Avg Charges with ICD V1046 - Personal history of malignant neoplasm of prostate | $75,678 | ||||
| Mortality Rate at DRG | 0.27 | ||||
| Mortality Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 0.3 | ||||
| SNF Discharge Rate at DRG | 2.38 | ||||
| SNF Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 1.7 | ||||
| Home Discharge Rate at DRG | 89.67 | ||||
| Home Discharge Rate with ICD V1046 - Personal history of malignant neoplasm of prostate | 91.9 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| NCH BAKER HOSPITAL DOWNTOWN | 350 7TH ST N | NAPLES | FL | 34102 | 2,020 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 1,805 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 1,769 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN TERRY DEARBORN | 2000 MOWRY AVE | FREMONT | CA | 94538 | 71 |
| Dr. SHENG-QIAN WU | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 63 |
| Dr. PATRICK J O'BRIEN | 3000 NEW BERN AVE | RALEIGH | NC | 27610 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. MIRATIQULLAH HESSAMI | 33425 E LAKE JOANNA DR | EUSTIS | FL | 32736 | 159 |
| Dr. ALEXANDER DEJESUS | 6400 EDGELAKE DR | SARASOTA | FL | 34240 | 151 |
| Dr. GARY LANGNAS | 27483 DEQUINDRE RD | MADISON HEIGHTS | MI | 48071 | 148 |