*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L03031 - Cellulitis of right toe - as a primary diagnosis code | L03031 - Cellulitis of right toe - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.0 | |
| Readmission Rate (%) | 24.32 | |
| Unplanned Readmission Rate (%) | 11.1 | |
| 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) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 3,588 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 67.56 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03031 - Cellulitis of right toe | 3.4 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03031 - Cellulitis of right toe | 16.24 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | 9.8 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $18,171,755 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $1,488 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $5,065 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $76,099,700 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03031 - Cellulitis of right toe | $21,210 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | 11.71 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | 59.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,797 | ||||
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 63 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.95 | ||||
| Avg LOS with ICD L03031 - Cellulitis of right toe | 3.33 | ||||
| Readmission Rate at DRG | 12.13 | ||||
| Readmission Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| Unplanned Readmission Rate at DRG | 6.24 | ||||
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| Total Medicare payments at DRG | $43,382,729 | ||||
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $394,239 | ||||
| Total Medicare payment per Day at DRG | $1,615 | ||||
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $1,877 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,383 | ||||
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $6,258 | ||||
| Total Medicare Charges at DRG | $247,296,126 | ||||
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $1,350,085 | ||||
| Avg Charges at DRG | $36,383 | ||||
| Avg Charges with ICD L03031 - Cellulitis of right toe | $21,430 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| SNF Discharge Rate at DRG | 12.49 | ||||
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| Home Discharge Rate at DRG | 49.73 | ||||
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | 68.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 28,142 | |
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 16 | |
| DRG Share of Total Hospitalizations | 0.09 | |
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 0.3 | |
| Avg LOS at DRG | 5.88 | |
| Avg LOS with ICD L03031 - Cellulitis of right toe | 5.75 | |
| Readmission Rate at DRG | 23.6 | |
| Readmission Rate with ICD L03031 - Cellulitis of right toe | NA | |
| Unplanned Readmission Rate at DRG | 15.33 | |
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | NA | |
| Total Medicare payments at DRG | $317,761,689 | |
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $176,996 | |
| Total Medicare payment per Day at DRG | $1,919 | |
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $1,924 | |
| Total Medicare payment per Hospitalization at DRG | $11,291 | |
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $11,062 | |
| Total Medicare Charges at DRG | $1,612,718,515 | |
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $556,980 | |
| Avg Charges at DRG | $57,306 | |
| Avg Charges with ICD L03031 - Cellulitis of right toe | $34,811 | |
| Mortality Rate at DRG | 0.56 | |
| Mortality Rate with ICD L03031 - Cellulitis of right toe | NA | |
| SNF Discharge Rate at DRG | 18.42 | |
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | NA | |
| Home Discharge Rate at DRG | 50.45 | |
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 19 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 19 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 17 |
*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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 4,688 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 12.2 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03031 - Cellulitis of right toe | 3.58 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03031 - Cellulitis of right toe | 16.48 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | 9.96 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $24,143,495 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $1,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $5,150 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $102,016,552 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03031 - Cellulitis of right toe | $21,761 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | 12.86 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | 57.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 504: FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS 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 | 269,064 | ||||
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 1,098 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 2.86 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L03031 - Cellulitis of right toe | 11.3 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L03031 - Cellulitis of right toe | 36.37 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | 17.22 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $33,835,088 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $2,726 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $30,815 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $143,644,555 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L03031 - Cellulitis of right toe | $130,824 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L03031 - Cellulitis of right toe | 4.19 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | 39.44 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | 13.84 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,476 | ||||
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 777 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 2.02 | ||||
| Avg LOS at DRG | 6.13 | ||||
| Avg LOS with ICD L03031 - Cellulitis of right toe | 6.49 | ||||
| Readmission Rate at DRG | 26.45 | ||||
| Readmission Rate with ICD L03031 - Cellulitis of right toe | 23.48 | ||||
| Unplanned Readmission Rate at DRG | 13.85 | ||||
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | 12.28 | ||||
| Total Medicare payments at DRG | $77,386,463 | ||||
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $8,120,657 | ||||
| Total Medicare payment per Day at DRG | $1,689 | ||||
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,351 | ||||
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $10,451 | ||||
| Total Medicare Charges at DRG | $387,249,275 | ||||
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $42,135,175 | ||||
| Avg Charges at DRG | $51,799 | ||||
| Avg Charges with ICD L03031 - Cellulitis of right toe | $54,228 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| SNF Discharge Rate at DRG | 26.2 | ||||
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | 26.77 | ||||
| Home Discharge Rate at DRG | 31.49 | ||||
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | 33.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 639: DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,215 | ||||
| Total Hospitalizations with ICD L03031 - Cellulitis of right toe | 609 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD L03031 - Cellulitis of right toe in DRG | 1.58 | ||||
| Avg LOS at DRG | 8.68 | ||||
| Avg LOS with ICD L03031 - Cellulitis of right toe | 5.78 | ||||
| Readmission Rate at DRG | 25.27 | ||||
| Readmission Rate with ICD L03031 - Cellulitis of right toe | 19.68 | ||||
| Unplanned Readmission Rate at DRG | 13.25 | ||||
| Unplanned Readmission Rate with ICD L03031 - Cellulitis of right toe | 10.65 | ||||
| Total Medicare payments at DRG | $166,915,334 | ||||
| Total Medicare payments with ICD L03031 - Cellulitis of right toe | $5,223,616 | ||||
| Total Medicare payment per Day at DRG | $1,264 | ||||
| Total Medicare payment per Day with ICD L03031 - Cellulitis of right toe | $1,484 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,970 | ||||
| Total Medicare payment per Hospitalization with ICD L03031 - Cellulitis of right toe | $8,577 | ||||
| Total Medicare Charges at DRG | $753,200,509 | ||||
| Total Medicare Charges with ICD L03031 - Cellulitis of right toe | $21,677,442 | ||||
| Avg Charges at DRG | $49,504 | ||||
| Avg Charges with ICD L03031 - Cellulitis of right toe | $35,595 | ||||
| Mortality Rate at DRG | 0.28 | ||||
| Mortality Rate with ICD L03031 - Cellulitis of right toe | NA | ||||
| SNF Discharge Rate at DRG | 26.42 | ||||
| SNF Discharge Rate with ICD L03031 - Cellulitis of right toe | 19.38 | ||||
| Home Discharge Rate at DRG | 25.51 | ||||
| Home Discharge Rate with ICD L03031 - Cellulitis of right toe | 34.32 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 118 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 113 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 90 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM J NAMEN | 1351 13TH AVENUE SOUTH | JACKSONVILLE BEACH | FL | 32250 | 41 |
| Dr. HERMOZ B AYVAZIAN | 1030 S GLENDALE AVE | GLENDALE | CA | 91205 | 34 |
| Dr. COLLIN E. BALL | 160 LONDON MOUNTAIN VIEW DR | LONDON | KY | 40741 | 32 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SEBASTIAN L ORNOPIA | 7000 SPRING MOUNTAIN RD | LAS VEGAS | NV | 89117 | 32 |
| Dr. ALEX VELASCO DELROSARIO | 5440 WEST SAHARA | LAS VEGAS | NV | 89146 | 31 |
| Dr. LUIS CARLOS ORTEGA | 1604 BEARDEN DR | LAS VEGAS | NV | 89106 | 26 |