*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L03119 - Cellulitis of unspecified part of limb - as a primary diagnosis code | L03119 - Cellulitis of unspecified part of limb - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.15 | |
| Readmission Rate (%) | 29.53 | |
| Unplanned Readmission Rate (%) | 14.69 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L03119 - Cellulitis of unspecified part of limb | 1,327 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03119 - Cellulitis of unspecified part of limb in DRG | 68.65 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03119 - Cellulitis of unspecified part of limb | 4.21 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 21.04 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 13.15 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03119 - Cellulitis of unspecified part of limb | $7,490,673 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03119 - Cellulitis of unspecified part of limb | $1,342 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03119 - Cellulitis of unspecified part of limb | $5,645 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03119 - Cellulitis of unspecified part of limb | $34,821,810 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03119 - Cellulitis of unspecified part of limb | $26,241 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03119 - Cellulitis of unspecified part of limb | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 22.53 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 44.24 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| PERRY COMMUNITY HOSPITAL | 805 SQUIRREL HOLLOW DR | LINDEN | TN | 37096 | 13 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 11 |
| EVERGREEN MEDICAL CENTER | 101 CRESTVIEW AVE | EVERGREEN | AL | 36401 | 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD L03119 - Cellulitis of unspecified part of limb | 2,610 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L03119 - Cellulitis of unspecified part of limb in DRG | 10.4 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L03119 - Cellulitis of unspecified part of limb | 7.6 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 32.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 21.34 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L03119 - Cellulitis of unspecified part of limb | $32,829,332 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L03119 - Cellulitis of unspecified part of limb | $1,655 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L03119 - Cellulitis of unspecified part of limb | $12,578 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L03119 - Cellulitis of unspecified part of limb | $202,909,432 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L03119 - Cellulitis of unspecified part of limb | $77,743 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L03119 - Cellulitis of unspecified part of limb | 15.56 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 33.83 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 13.72 |
*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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD L03119 - Cellulitis of unspecified part of limb | 674 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD L03119 - Cellulitis of unspecified part of limb in DRG | 2.68 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD L03119 - Cellulitis of unspecified part of limb | 14.49 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 35.14 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 18.06 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD L03119 - Cellulitis of unspecified part of limb | $7,543,699 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD L03119 - Cellulitis of unspecified part of limb | $772 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD L03119 - Cellulitis of unspecified part of limb | $11,192 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD L03119 - Cellulitis of unspecified part of limb | $25,926,429 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD L03119 - Cellulitis of unspecified part of limb | $38,467 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD L03119 - Cellulitis of unspecified part of limb | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 15.73 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 62.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L03119 - Cellulitis of unspecified part of limb | 507 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L03119 - Cellulitis of unspecified part of limb in DRG | 2.02 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L03119 - Cellulitis of unspecified part of limb | 5.27 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 24.11 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 17.4 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L03119 - Cellulitis of unspecified part of limb | $3,093,585 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L03119 - Cellulitis of unspecified part of limb | $1,157 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L03119 - Cellulitis of unspecified part of limb | $6,102 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L03119 - Cellulitis of unspecified part of limb | $18,840,547 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L03119 - Cellulitis of unspecified part of limb | $37,161 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L03119 - Cellulitis of unspecified part of limb | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 33.33 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 31.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD L03119 - Cellulitis of unspecified part of limb | 224 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L03119 - Cellulitis of unspecified part of limb in DRG | 0.89 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L03119 - Cellulitis of unspecified part of limb | 4.35 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 24.3 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L03119 - Cellulitis of unspecified part of limb | 17.76 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L03119 - Cellulitis of unspecified part of limb | $1,186,232 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L03119 - Cellulitis of unspecified part of limb | $1,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L03119 - Cellulitis of unspecified part of limb | $5,296 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L03119 - Cellulitis of unspecified part of limb | $6,360,108 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L03119 - Cellulitis of unspecified part of limb | $28,393 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L03119 - Cellulitis of unspecified part of limb | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 31.7 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L03119 - Cellulitis of unspecified part of limb | 33.93 |
| 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 | 86 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 84 |
| ASCENSION MACOMB - OAKLAND HOSPITAL | 11800 E 12 MILE RD | WARREN | MI | 48093 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WOJCIECH POLUHA | 107 LINCOLN ST | WORCESTER | MA | 01605 | 17 |
| Dr. ENGILBERTO JAVIER RAMOS | 506 E SAN ANTONIO ST | VICTORIA | TX | 77901 | 13 |
| Dr. RONALD F. PIKE | 107 LINCOLN ST | WORCESTER | MA | 01605 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHATISHKUMAR Y PATEL | 8200 WEDNESBURY LN | HOUSTON | TX | 77074 | 30 |
| Dr. MOHAN PADAMANNUR RAO | 1648 TYLER AVENUE | SOUTH EL MONTE | CA | 91733 | 23 |
| Dr. MOUSTAFA M ELDICK | 899 N SUMMIT ST | CRESCENT CITY | FL | 32112 | 19 |