*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L03032 - Cellulitis of left toe - as a primary diagnosis code | L03032 - Cellulitis of left toe - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.03 | |
| Readmission Rate (%) | 24.4 | |
| Unplanned Readmission Rate (%) | 11.5 | |
| 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 L03032 - Cellulitis of left toe | 3,474 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 67.48 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03032 - Cellulitis of left toe | 3.5 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03032 - Cellulitis of left toe | 17.82 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | 10.88 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $17,846,170 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $1,467 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $5,137 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $75,628,993 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03032 - Cellulitis of left toe | $21,770 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | 11.74 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | 57.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT 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 | 18,169 | ||||
| Total Hospitalizations with ICD L03032 - Cellulitis of left toe | 65 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 1.26 | ||||
| Avg LOS at DRG | 2.77 | ||||
| Avg LOS with ICD L03032 - Cellulitis of left toe | 4.68 | ||||
| Readmission Rate at DRG | 8.43 | ||||
| Readmission Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| Unplanned Readmission Rate at DRG | 4.51 | ||||
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| Total Medicare payments at DRG | $125,868,264 | ||||
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $467,942 | ||||
| Total Medicare payment per Day at DRG | $2,503 | ||||
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $1,539 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,928 | ||||
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $7,199 | ||||
| Total Medicare Charges at DRG | $793,060,397 | ||||
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $2,149,341 | ||||
| Avg Charges at DRG | $43,649 | ||||
| Avg Charges with ICD L03032 - Cellulitis of left toe | $33,067 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| SNF Discharge Rate at DRG | 6.85 | ||||
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| Home Discharge Rate at DRG | 61.18 | ||||
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | 55.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 2,728 | |
| Total Hospitalizations with ICD L03032 - Cellulitis of left toe | 18 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 0.35 | |
| Avg LOS at DRG | 9.72 | |
| Avg LOS with ICD L03032 - Cellulitis of left toe | 5.39 | |
| Readmission Rate at DRG | 21.49 | |
| Readmission Rate with ICD L03032 - Cellulitis of left toe | NA | |
| Unplanned Readmission Rate at DRG | 10.8 | |
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | NA | |
| Total Medicare payments at DRG | $51,021,643 | |
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $295,742 | |
| Total Medicare payment per Day at DRG | $1,925 | |
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $3,049 | |
| Total Medicare payment per Hospitalization at DRG | $18,703 | |
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $16,430 | |
| Total Medicare Charges at DRG | $239,696,071 | |
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $888,157 | |
| Avg Charges at DRG | $87,865 | |
| Avg Charges with ICD L03032 - Cellulitis of left toe | $49,342 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | |
| SNF Discharge Rate at DRG | 31.2 | |
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | NA | |
| Home Discharge Rate at DRG | 27.79 | |
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 17 |
| VIRTUA VOORHEES HOSPITAL | 100 BOWMAN DR | VOORHEES | NJ | 08043 | 16 |
| JEFFERSON STRATFORD HOSPITAL | 18 E LAUREL RD | STRATFORD | NJ | 08084 | 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 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L03032 - Cellulitis of left toe | 4,565 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 12.5 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03032 - Cellulitis of left toe | 3.65 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03032 - Cellulitis of left toe | 18.39 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | 11.62 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $23,697,600 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $1,423 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $5,191 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $102,641,964 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03032 - Cellulitis of left toe | $22,485 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | 12.79 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | 56.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 504: FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,795 | ||||
| Total Hospitalizations with ICD L03032 - Cellulitis of left toe | 1,066 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 2.92 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L03032 - Cellulitis of left toe | 8.58 | ||||
| Readmission Rate at DRG | 25.16 | ||||
| Readmission Rate with ICD L03032 - Cellulitis of left toe | 30.06 | ||||
| Unplanned Readmission Rate at DRG | 13.58 | ||||
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | 16.18 | ||||
| Total Medicare payments at DRG | $1,520,761,343 | ||||
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $18,975,835 | ||||
| Total Medicare payment per Day at DRG | $3,209 | ||||
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $2,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,127 | ||||
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $17,801 | ||||
| Total Medicare Charges at DRG | $8,019,705,683 | ||||
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $123,492,883 | ||||
| Avg Charges at DRG | $90,317 | ||||
| Avg Charges with ICD L03032 - Cellulitis of left toe | $115,847 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| SNF Discharge Rate at DRG | 20.42 | ||||
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | 30.39 | ||||
| Home Discharge Rate at DRG | 47.78 | ||||
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | 29.08 |
*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 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 540: OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,785 | ||||
| Total Hospitalizations with ICD L03032 - Cellulitis of left toe | 775 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 2.12 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD L03032 - Cellulitis of left toe | 4.76 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD L03032 - Cellulitis of left toe | 32.46 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | 20.15 | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $4,872,562 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $1,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $6,287 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $26,060,322 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD L03032 - Cellulitis of left toe | $33,626 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | 20.52 | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | 36.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD L03032 - Cellulitis of left toe | 518 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD L03032 - Cellulitis of left toe in DRG | 1.42 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD L03032 - Cellulitis of left toe | 18.4 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD L03032 - Cellulitis of left toe | 33.47 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD L03032 - Cellulitis of left toe | 18.43 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD L03032 - Cellulitis of left toe | $6,554,891 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD L03032 - Cellulitis of left toe | $688 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD L03032 - Cellulitis of left toe | $12,654 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD L03032 - Cellulitis of left toe | $24,628,059 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD L03032 - Cellulitis of left toe | $47,545 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD L03032 - Cellulitis of left toe | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD L03032 - Cellulitis of left toe | 9.85 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD L03032 - Cellulitis of left toe | 69.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 103 |
| MEMORIAL HERMANN HOSPITAL SYSTEM | 1635 NORTH LOOP W | HOUSTON | TX | 77008 | 97 |
| HOUSTON METHODIST HOSPITAL | 6565 FANNIN ST | HOUSTON | TX | 77030 | 82 |
| 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 | 28 |
| Dr. MICHAEL E SMITH | 2111 GLENWOOD DR | WINTER PARK | FL | 32792 | 26 |
| Dr. HERMOZ B AYVAZIAN | 1030 S GLENDALE AVE | GLENDALE | CA | 91205 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 26 |
| Dr. LUIS CARLOS ORTEGA | 1604 BEARDEN DR | LAS VEGAS | NV | 89106 | 25 |
| Dr. LILY LEE MOORE | 141 ASHELAND AVENUE | ASHEVILLE | NC | 28801 | 19 |