*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L538 - Other specified erythematous conditions - as a primary diagnosis code | L538 - Other specified erythematous conditions - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.9 | |
| Readmission Rate (%) | 23.28 | |
| Unplanned Readmission Rate (%) | 17.27 | |
| 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 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,754 | |
| Total Hospitalizations with ICD L538 - Other specified erythematous conditions | 123 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD L538 - Other specified erythematous conditions in DRG | 82.55 | |
| Avg LOS at DRG | 3.82 | |
| Avg LOS with ICD L538 - Other specified erythematous conditions | 3.06 | |
| Readmission Rate at DRG | 19.14 | |
| Readmission Rate with ICD L538 - Other specified erythematous conditions | 22.81 | |
| Unplanned Readmission Rate at DRG | 13.41 | |
| Unplanned Readmission Rate with ICD L538 - Other specified erythematous conditions | 15.79 | |
| Total Medicare payments at DRG | $103,585,947 | |
| Total Medicare payments with ICD L538 - Other specified erythematous conditions | $662,006 | |
| Total Medicare payment per Day at DRG | $1,373 | |
| Total Medicare payment per Day with ICD L538 - Other specified erythematous conditions | $1,761 | |
| Total Medicare payment per Hospitalization at DRG | $5,244 | |
| Total Medicare payment per Hospitalization with ICD L538 - Other specified erythematous conditions | $5,382 | |
| Total Medicare Charges at DRG | $499,706,458 | |
| Total Medicare Charges with ICD L538 - Other specified erythematous conditions | $2,549,421 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD L538 - Other specified erythematous conditions | $20,727 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD L538 - Other specified erythematous conditions | NA | |
| SNF Discharge Rate at DRG | 14.6 | |
| SNF Discharge Rate with ICD L538 - Other specified erythematous conditions | 14.63 | |
| Home Discharge Rate at DRG | 57.87 | |
| Home Discharge Rate with ICD L538 - Other specified erythematous conditions | 59.35 |
*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 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L538 - Other specified erythematous conditions | 348 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L538 - Other specified erythematous conditions in DRG | 5.59 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L538 - Other specified erythematous conditions | 7.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L538 - Other specified erythematous conditions | 20.65 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L538 - Other specified erythematous conditions | 15.48 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L538 - Other specified erythematous conditions | $4,387,237 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L538 - Other specified erythematous conditions | $1,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L538 - Other specified erythematous conditions | $12,607 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L538 - Other specified erythematous conditions | $22,389,888 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L538 - Other specified erythematous conditions | $64,339 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L538 - Other specified erythematous conditions | 4.89 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L538 - Other specified erythematous conditions | 35.92 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L538 - Other specified erythematous conditions | 25.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD L538 - Other specified erythematous conditions | 148 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD L538 - Other specified erythematous conditions in DRG | 2.38 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L538 - Other specified erythematous conditions | 7.01 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD L538 - Other specified erythematous conditions | 26.47 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L538 - Other specified erythematous conditions | 19.12 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD L538 - Other specified erythematous conditions | $1,536,217 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD L538 - Other specified erythematous conditions | $1,480 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD L538 - Other specified erythematous conditions | $10,380 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD L538 - Other specified erythematous conditions | $7,513,457 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD L538 - Other specified erythematous conditions | $50,767 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD L538 - Other specified erythematous conditions | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD L538 - Other specified erythematous conditions | 27.7 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD L538 - Other specified erythematous conditions | 24.32 |
*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 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD L538 - Other specified erythematous conditions | 97 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L538 - Other specified erythematous conditions in DRG | 1.56 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L538 - Other specified erythematous conditions | 4.52 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L538 - Other specified erythematous conditions | 23.66 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L538 - Other specified erythematous conditions | 15.05 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L538 - Other specified erythematous conditions | $621,439 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L538 - Other specified erythematous conditions | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L538 - Other specified erythematous conditions | $6,407 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L538 - Other specified erythematous conditions | $3,018,982 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L538 - Other specified erythematous conditions | $31,124 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L538 - Other specified erythematous conditions | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L538 - Other specified erythematous conditions | 26.8 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L538 - Other specified erythematous conditions | 29.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD L538 - Other specified erythematous conditions | 71 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L538 - Other specified erythematous conditions in DRG | 1.14 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L538 - Other specified erythematous conditions | 8.66 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L538 - Other specified erythematous conditions | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L538 - Other specified erythematous conditions | 20.63 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L538 - Other specified erythematous conditions | $828,009 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L538 - Other specified erythematous conditions | $1,346 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L538 - Other specified erythematous conditions | $11,662 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L538 - Other specified erythematous conditions | $4,621,573 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L538 - Other specified erythematous conditions | $65,093 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L538 - Other specified erythematous conditions | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L538 - Other specified erythematous conditions | 23.94 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L538 - Other specified erythematous conditions | 26.76 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| STANFORD HEALTHCARE | 300 PASTEUR DR | STANFORD | CA | 94305 | 49 |
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 47 |
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT A RUBEN | 21 CLARK WAY | SOMERSWORTH | NH | 03878 | 19 |
| Dr. MRUNAL PANCHAL | 901 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RACHEL ANNE MARTIN | 2101 PEASE ST | HARLINGEN | TX | 78550 | 30 |
| Dr. GREGORY WARD | 8338 SUMMA AVE | BATON ROUGE | LA | 70809 | 23 |
| Dr. MRUNAL PANCHAL | 901 BIESTERFIELD RD | ELK GROVE VILLAGE | IL | 60007 | 12 |