*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| A46 - Erysipelas - as a primary diagnosis code | A46 - Erysipelas - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.1 | |
| Readmission Rate (%) | 14.23 | |
| Unplanned Readmission Rate (%) | 6.12 | |
| 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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 364,421 | |
| Total Hospitalizations with ICD A46 - Erysipelas | 865 | |
| DRG Share of Total Hospitalizations | 1.11 | |
| % of Total ICD A46 - Erysipelas in DRG | 88.9 | |
| Avg LOS at DRG | 3.97 | |
| Avg LOS with ICD A46 - Erysipelas | 3.35 | |
| Readmission Rate at DRG | 16.14 | |
| Readmission Rate with ICD A46 - Erysipelas | 8.77 | |
| Unplanned Readmission Rate at DRG | 10.98 | |
| Unplanned Readmission Rate with ICD A46 - Erysipelas | 5.45 | |
| Total Medicare payments at DRG | $1,924,528,848 | |
| Total Medicare payments with ICD A46 - Erysipelas | $4,492,925 | |
| Total Medicare payment per Day at DRG | $1,332 | |
| Total Medicare payment per Day with ICD A46 - Erysipelas | $1,552 | |
| Total Medicare payment per Hospitalization at DRG | $5,281 | |
| Total Medicare payment per Hospitalization with ICD A46 - Erysipelas | $5,194 | |
| Total Medicare Charges at DRG | $8,912,106,420 | |
| Total Medicare Charges with ICD A46 - Erysipelas | $16,815,305 | |
| Avg Charges at DRG | $24,456 | |
| Avg Charges with ICD A46 - Erysipelas | $19,440 | |
| Mortality Rate at DRG | 0.09 | |
| Mortality Rate with ICD A46 - Erysipelas | NA | |
| SNF Discharge Rate at DRG | 15.72 | |
| SNF Discharge Rate with ICD A46 - Erysipelas | 7.51 | |
| Home Discharge Rate at DRG | 53.33 | |
| Home Discharge Rate with ICD A46 - Erysipelas | 74.8 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD A46 - Erysipelas | 2,038 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD A46 - Erysipelas in DRG | 45.03 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD A46 - Erysipelas | 3.71 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD A46 - Erysipelas | 9.71 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD A46 - Erysipelas | 6.61 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD A46 - Erysipelas | $10,435,500 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD A46 - Erysipelas | $1,381 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD A46 - Erysipelas | $5,120 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD A46 - Erysipelas | $46,066,880 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD A46 - Erysipelas | $22,604 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD A46 - Erysipelas | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD A46 - Erysipelas | 10.21 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD A46 - Erysipelas | 69.82 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD A46 - Erysipelas | 42 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD A46 - Erysipelas in DRG | 0.93 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD A46 - Erysipelas | 5.5 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD A46 - Erysipelas | NA | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD A46 - Erysipelas | NA | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD A46 - Erysipelas | $363,233 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD A46 - Erysipelas | $1,572 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD A46 - Erysipelas | $8,648 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD A46 - Erysipelas | $1,651,169 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD A46 - Erysipelas | $39,314 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD A46 - Erysipelas | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD A46 - Erysipelas | 28.57 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD A46 - Erysipelas | 38.1 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,785 | ||||
| Total Hospitalizations with ICD A46 - Erysipelas | 26 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD A46 - Erysipelas in DRG | 0.57 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD A46 - Erysipelas | 3.5 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD A46 - Erysipelas | NA | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD A46 - Erysipelas | NA | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD A46 - Erysipelas | $165,670 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD A46 - Erysipelas | $1,821 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD A46 - Erysipelas | $6,372 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD A46 - Erysipelas | $673,086 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD A46 - Erysipelas | $25,888 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD A46 - Erysipelas | NA | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD A46 - Erysipelas | NA | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD A46 - Erysipelas | 46.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 596: MAJOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 522,791 | ||||
| Total Hospitalizations with ICD A46 - Erysipelas | 14 | ||||
| DRG Share of Total Hospitalizations | 1.59 | ||||
| % of Total ICD A46 - Erysipelas in DRG | 0.31 | ||||
| Avg LOS at DRG | 3.14 | ||||
| Avg LOS with ICD A46 - Erysipelas | 3.86 | ||||
| Readmission Rate at DRG | 17.1 | ||||
| Readmission Rate with ICD A46 - Erysipelas | NA | ||||
| Unplanned Readmission Rate at DRG | 12.62 | ||||
| Unplanned Readmission Rate with ICD A46 - Erysipelas | NA | ||||
| Total Medicare payments at DRG | $2,290,151,156 | ||||
| Total Medicare payments with ICD A46 - Erysipelas | $67,561 | ||||
| Total Medicare payment per Day at DRG | $1,394 | ||||
| Total Medicare payment per Day with ICD A46 - Erysipelas | $1,251 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,381 | ||||
| Total Medicare payment per Hospitalization with ICD A46 - Erysipelas | $4,826 | ||||
| Total Medicare Charges at DRG | $13,619,287,561 | ||||
| Total Medicare Charges with ICD A46 - Erysipelas | $419,686 | ||||
| Avg Charges at DRG | $26,051 | ||||
| Avg Charges with ICD A46 - Erysipelas | $29,978 | ||||
| Mortality Rate at DRG | 0.18 | ||||
| Mortality Rate with ICD A46 - Erysipelas | NA | ||||
| SNF Discharge Rate at DRG | 8.57 | ||||
| SNF Discharge Rate with ICD A46 - Erysipelas | NA | ||||
| Home Discharge Rate at DRG | 72.49 | ||||
| Home Discharge Rate with ICD A46 - Erysipelas | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 71 |
| PROVIDENCE HEALTH & SERVICES OREGON REGION | 4805 NE GLISAN ST | PORTLAND | OR | 97213 | 40 |
| FRANCISCAN HEALTH DYER | 24 JOLIET ST | DYER | IN | 46311 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MIN GAO | 1904 PINE ST | ABILENE | TX | 79601 | 11 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | L03211 | Cellulitis of face |
| 2 | I10 | Essential (primary) hypertension |
| 3 | E785 | Hyperlipidemia, unspecified |
| 4 | Z87891 | Personal history of nicotine dependence |
| 5 | K219 | Gastro-esophageal reflux disease without esophagitis |