*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L089 - Local infection of the skin and subcutaneous tissue, unspecified - as a primary diagnosis code | L089 - Local infection of the skin and subcutaneous tissue, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.04 | |
| Readmission Rate (%) | 28.26 | |
| Unplanned Readmission Rate (%) | 11.32 | |
| 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 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 948 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified in DRG | 54.96 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 3.68 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 16.61 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 8.83 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $5,385,748 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $1,542 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $5,681 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $21,930,011 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $23,133 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 14.87 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 49.79 |
*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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,564 | |||
| Total Hospitalizations with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 55 | |||
| DRG Share of Total Hospitalizations | 0.06 | |||
| % of Total ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified in DRG | 3.19 | |||
| Avg LOS at DRG | 11.79 | |||
| Avg LOS with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 9.09 | |||
| Readmission Rate at DRG | 31.21 | |||
| Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 28.85 | |||
| Unplanned Readmission Rate at DRG | 16.98 | |||
| Unplanned Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | NA | |||
| Total Medicare payments at DRG | $382,049,643 | |||
| Total Medicare payments with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $932,896 | |||
| Total Medicare payment per Day at DRG | $1,656 | |||
| Total Medicare payment per Day with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $1,866 | |||
| Total Medicare payment per Hospitalization at DRG | $19,528 | |||
| Total Medicare payment per Hospitalization with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $16,962 | |||
| Total Medicare Charges at DRG | $1,800,893,222 | |||
| Total Medicare Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $3,508,722 | |||
| Avg Charges at DRG | $92,051 | |||
| Avg Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $63,795 | |||
| Mortality Rate at DRG | 2.9 | |||
| Mortality Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | NA | |||
| SNF Discharge Rate at DRG | 33.4 | |||
| SNF Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 27.27 | |||
| Home Discharge Rate at DRG | 19.47 | |||
| Home Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 25.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 16 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 2,815 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified in DRG | 7.23 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 7.2 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 33.29 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 20.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $33,663,341 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $1,660 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $11,959 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $174,095,542 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $61,846 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 13.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 31.23 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 14.92 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 865 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified in DRG | 2.22 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 9.68 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 31.53 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 19.55 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $10,083,464 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $1,204 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $11,657 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $46,252,563 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $53,471 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 2.77 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 37.69 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 11.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT 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) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||||
| Total Hospitalizations with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 567 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified in DRG | 1.46 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 12.14 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 33.27 | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 17.57 | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $9,763,321 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $1,418 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $17,219 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $45,172,765 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $79,670 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 2.47 | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 44.44 | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 8.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,787 | ||||
| Total Hospitalizations with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 405 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified in DRG | 1.04 | ||||
| Avg LOS at DRG | 3.25 | ||||
| Avg LOS with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 3.98 | ||||
| Readmission Rate at DRG | 18.27 | ||||
| Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 12.73 | ||||
| Unplanned Readmission Rate at DRG | 10.63 | ||||
| Unplanned Readmission Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 7.27 | ||||
| Total Medicare payments at DRG | $234,309,332 | ||||
| Total Medicare payments with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $2,220,746 | ||||
| Total Medicare payment per Day at DRG | $1,573 | ||||
| Total Medicare payment per Day with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $1,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,117 | ||||
| Total Medicare payment per Hospitalization with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $5,483 | ||||
| Total Medicare Charges at DRG | $1,321,005,538 | ||||
| Total Medicare Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $10,634,945 | ||||
| Avg Charges at DRG | $28,851 | ||||
| Avg Charges with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | $26,259 | ||||
| Mortality Rate at DRG | 0.2 | ||||
| Mortality Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 32.81 | ||||
| SNF Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 17.53 | ||||
| Home Discharge Rate at DRG | 35.13 | ||||
| Home Discharge Rate with ICD L089 - Local infection of the skin and subcutaneous tissue, unspecified | 51.85 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 110 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 108 |
| HUNTSVILLE HOSPITAL | 101 SIVLEY RD SW | HUNTSVILLE | AL | 35801 | 92 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHANDA S RICHARDSON | 107 FRONT STREET | VIDALIA | LA | 71373 | 41 |
| Dr. JERRY CHOW | 15300 WEST AVE | ORLAND PARK | IL | 60462 | 20 |
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 19 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MUHAMMAD MAHMOOD ALAM | 1019 E WATER ST | ELMIRA | NY | 14901 | 26 |
| Dr. NURUDEEN SHEKONI | 5160 GALAXIE DR | JACKSON | MS | 39206 | 26 |
| Dr. TIMOTHY IVIN LAWVER | 525 OREGON ST | VALLEJO | CA | 94590 | 17 |