*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L03312 - Cellulitis of back [any part except buttock] - as a primary diagnosis code | L03312 - Cellulitis of back [any part except buttock] - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.74 | |
| Readmission Rate (%) | 24.15 | |
| Unplanned Readmission Rate (%) | 10.78 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L03312 - Cellulitis of back [any part except buttock] | 1,116 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03312 - Cellulitis of back [any part except buttock] in DRG | 59.81 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03312 - Cellulitis of back [any part except buttock] | 4.19 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 13.62 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 9.52 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03312 - Cellulitis of back [any part except buttock] | $5,874,173 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03312 - Cellulitis of back [any part except buttock] | $1,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03312 - Cellulitis of back [any part except buttock] | $5,264 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $28,528,014 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $25,563 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 20.61 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 46.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 19,564 | ||
| Total Hospitalizations with ICD L03312 - Cellulitis of back [any part except buttock] | 37 | ||
| DRG Share of Total Hospitalizations | 0.06 | ||
| % of Total ICD L03312 - Cellulitis of back [any part except buttock] in DRG | 1.98 | ||
| Avg LOS at DRG | 11.79 | ||
| Avg LOS with ICD L03312 - Cellulitis of back [any part except buttock] | 9.41 | ||
| Readmission Rate at DRG | 31.21 | ||
| Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||
| Unplanned Readmission Rate at DRG | 16.98 | ||
| Unplanned Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||
| Total Medicare payments at DRG | $382,049,643 | ||
| Total Medicare payments with ICD L03312 - Cellulitis of back [any part except buttock] | $674,084 | ||
| Total Medicare payment per Day at DRG | $1,656 | ||
| Total Medicare payment per Day with ICD L03312 - Cellulitis of back [any part except buttock] | $1,937 | ||
| Total Medicare payment per Hospitalization at DRG | $19,528 | ||
| Total Medicare payment per Hospitalization with ICD L03312 - Cellulitis of back [any part except buttock] | $18,218 | ||
| Total Medicare Charges at DRG | $1,800,893,222 | ||
| Total Medicare Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $2,911,248 | ||
| Avg Charges at DRG | $92,051 | ||
| Avg Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $78,682 | ||
| Mortality Rate at DRG | 2.9 | ||
| Mortality Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||
| SNF Discharge Rate at DRG | 33.4 | ||
| SNF Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 35.14 | ||
| Home Discharge Rate at DRG | 19.47 | ||
| Home Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 15 |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE | HOLLYWOOD | CA | 90028 | 14 |
*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 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) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 L03312 - Cellulitis of back [any part except buttock] | 1,876 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L03312 - Cellulitis of back [any part except buttock] in DRG | 12.97 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L03312 - Cellulitis of back [any part except buttock] | 4.24 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 12.72 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 9.0 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L03312 - Cellulitis of back [any part except buttock] | $9,818,906 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L03312 - Cellulitis of back [any part except buttock] | $1,235 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L03312 - Cellulitis of back [any part except buttock] | $5,234 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $47,946,375 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $25,558 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 20.47 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 46.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L03312 - Cellulitis of back [any part except buttock] | 523 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L03312 - Cellulitis of back [any part except buttock] in DRG | 3.61 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L03312 - Cellulitis of back [any part except buttock] | 10.09 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 30.38 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 16.46 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L03312 - Cellulitis of back [any part except buttock] | $6,455,719 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L03312 - Cellulitis of back [any part except buttock] | $1,223 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L03312 - Cellulitis of back [any part except buttock] | $12,344 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $29,899,481 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $57,169 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 4.97 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 41.3 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 9.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,827 | ||||
| Total Hospitalizations with ICD L03312 - Cellulitis of back [any part except buttock] | 261 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L03312 - Cellulitis of back [any part except buttock] in DRG | 1.8 | ||||
| Avg LOS at DRG | 8.58 | ||||
| Avg LOS with ICD L03312 - Cellulitis of back [any part except buttock] | 7.62 | ||||
| Readmission Rate at DRG | 27.62 | ||||
| Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 31.74 | ||||
| Unplanned Readmission Rate at DRG | 15.85 | ||||
| Unplanned Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 17.83 | ||||
| Total Medicare payments at DRG | $555,779,802 | ||||
| Total Medicare payments with ICD L03312 - Cellulitis of back [any part except buttock] | $3,419,913 | ||||
| Total Medicare payment per Day at DRG | $1,668 | ||||
| Total Medicare payment per Day with ICD L03312 - Cellulitis of back [any part except buttock] | $1,719 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,314 | ||||
| Total Medicare payment per Hospitalization with ICD L03312 - Cellulitis of back [any part except buttock] | $13,103 | ||||
| Total Medicare Charges at DRG | $2,652,789,227 | ||||
| Total Medicare Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $17,468,517 | ||||
| Avg Charges at DRG | $68,323 | ||||
| Avg Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $66,929 | ||||
| Mortality Rate at DRG | 3.06 | ||||
| Mortality Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||||
| SNF Discharge Rate at DRG | 20.78 | ||||
| SNF Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 26.82 | ||||
| Home Discharge Rate at DRG | 32.02 | ||||
| Home Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 20.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,598 | ||||
| Total Hospitalizations with ICD L03312 - Cellulitis of back [any part except buttock] | 201 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD L03312 - Cellulitis of back [any part except buttock] in DRG | 1.39 | ||||
| Avg LOS at DRG | 12.75 | ||||
| Avg LOS with ICD L03312 - Cellulitis of back [any part except buttock] | 10.9 | ||||
| Readmission Rate at DRG | 37.72 | ||||
| Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 34.2 | ||||
| Unplanned Readmission Rate at DRG | 16.03 | ||||
| Unplanned Readmission Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 14.51 | ||||
| Total Medicare payments at DRG | $798,278,353 | ||||
| Total Medicare payments with ICD L03312 - Cellulitis of back [any part except buttock] | $5,427,301 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD L03312 - Cellulitis of back [any part except buttock] | $2,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $31,185 | ||||
| Total Medicare payment per Hospitalization with ICD L03312 - Cellulitis of back [any part except buttock] | $27,001 | ||||
| Total Medicare Charges at DRG | $3,604,344,398 | ||||
| Total Medicare Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $22,889,791 | ||||
| Avg Charges at DRG | $140,806 | ||||
| Avg Charges with ICD L03312 - Cellulitis of back [any part except buttock] | $113,880 | ||||
| Mortality Rate at DRG | 4.29 | ||||
| Mortality Rate with ICD L03312 - Cellulitis of back [any part except buttock] | NA | ||||
| SNF Discharge Rate at DRG | 30.14 | ||||
| SNF Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 32.34 | ||||
| Home Discharge Rate at DRG | 15.85 | ||||
| Home Discharge Rate with ICD L03312 - Cellulitis of back [any part except buttock] | 14.43 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 62 |
| GREENWOOD LEFLORE HOSPITAL | 1401 RIVER RD | GREENWOOD | MS | 38930 | 56 |
| SAINT BARNABAS MEDICAL CENTER | 94 OLD SHORT HILLS RD | LIVINGSTON | NJ | 07039 | 48 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GUTTI J RAO | 1604 LEFLORE AVE | GREENWOOD | MS | 38930 | 20 |
| Dr. ALAIN DOMKAM | 302 8TH ST | GREENWOOD | MS | 38930 | 14 |
| Dr. WILLIAM GREGORY MORGAN | 1705 RENAISSANCE BLVD | EDMOND | OK | 73013 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GUTTI J RAO | 1604 LEFLORE AVE | GREENWOOD | MS | 38930 | 48 |
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 25 |
| Dr. RAKESH SHRIVASTAVA | 3400 S DOUGLAS BLVD | OKLAHOMA CITY | OK | 73150 | 17 |