*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L539 - Erythematous condition, unspecified - as a primary diagnosis code | L539 - Erythematous condition, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.35 | |
| Readmission Rate (%) | 23.06 | |
| Unplanned Readmission Rate (%) | 13.94 | |
| 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 L539 - Erythematous condition, unspecified | 243 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD L539 - Erythematous condition, unspecified in DRG | 80.2 | |
| Avg LOS at DRG | 3.82 | |
| Avg LOS with ICD L539 - Erythematous condition, unspecified | 3.06 | |
| Readmission Rate at DRG | 19.14 | |
| Readmission Rate with ICD L539 - Erythematous condition, unspecified | 19.13 | |
| Unplanned Readmission Rate at DRG | 13.41 | |
| Unplanned Readmission Rate with ICD L539 - Erythematous condition, unspecified | 12.61 | |
| Total Medicare payments at DRG | $103,585,947 | |
| Total Medicare payments with ICD L539 - Erythematous condition, unspecified | $1,186,509 | |
| Total Medicare payment per Day at DRG | $1,373 | |
| Total Medicare payment per Day with ICD L539 - Erythematous condition, unspecified | $1,595 | |
| Total Medicare payment per Hospitalization at DRG | $5,244 | |
| Total Medicare payment per Hospitalization with ICD L539 - Erythematous condition, unspecified | $4,883 | |
| Total Medicare Charges at DRG | $499,706,458 | |
| Total Medicare Charges with ICD L539 - Erythematous condition, unspecified | $4,719,656 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD L539 - Erythematous condition, unspecified | $19,422 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD L539 - Erythematous condition, unspecified | NA | |
| SNF Discharge Rate at DRG | 14.6 | |
| SNF Discharge Rate with ICD L539 - Erythematous condition, unspecified | 9.88 | |
| Home Discharge Rate at DRG | 57.87 | |
| Home Discharge Rate with ICD L539 - Erythematous condition, unspecified | 66.67 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 885: PSYCHOSES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L539 - Erythematous condition, unspecified | 1,037 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L539 - Erythematous condition, unspecified in DRG | 5.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L539 - Erythematous condition, unspecified | 7.37 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L539 - Erythematous condition, unspecified | 23.86 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L539 - Erythematous condition, unspecified | 16.32 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L539 - Erythematous condition, unspecified | $12,957,643 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L539 - Erythematous condition, unspecified | $1,695 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L539 - Erythematous condition, unspecified | $12,495 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L539 - Erythematous condition, unspecified | $65,866,627 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L539 - Erythematous condition, unspecified | $63,517 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L539 - Erythematous condition, unspecified | 7.52 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L539 - Erythematous condition, unspecified | 33.56 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L539 - Erythematous condition, unspecified | 24.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD L539 - Erythematous condition, unspecified | 417 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD L539 - Erythematous condition, unspecified in DRG | 2.37 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L539 - Erythematous condition, unspecified | 6.53 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD L539 - Erythematous condition, unspecified | 25.73 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L539 - Erythematous condition, unspecified | 19.1 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD L539 - Erythematous condition, unspecified | $4,232,781 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD L539 - Erythematous condition, unspecified | $1,553 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD L539 - Erythematous condition, unspecified | $10,151 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD L539 - Erythematous condition, unspecified | $20,026,081 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD L539 - Erythematous condition, unspecified | $48,024 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD L539 - Erythematous condition, unspecified | 3.6 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD L539 - Erythematous condition, unspecified | 31.41 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD L539 - Erythematous condition, unspecified | 23.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD L539 - Erythematous condition, unspecified | 239 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD L539 - Erythematous condition, unspecified in DRG | 1.36 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD L539 - Erythematous condition, unspecified | 6.04 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD L539 - Erythematous condition, unspecified | 25.68 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD L539 - Erythematous condition, unspecified | 16.22 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD L539 - Erythematous condition, unspecified | $1,925,628 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD L539 - Erythematous condition, unspecified | $1,334 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD L539 - Erythematous condition, unspecified | $8,057 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD L539 - Erythematous condition, unspecified | $7,898,739 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD L539 - Erythematous condition, unspecified | $33,049 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD L539 - Erythematous condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD L539 - Erythematous condition, unspecified | 17.99 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD L539 - Erythematous condition, unspecified | 37.66 |
*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 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L539 - Erythematous condition, unspecified | 205 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L539 - Erythematous condition, unspecified in DRG | 1.17 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L539 - Erythematous condition, unspecified | 5.37 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L539 - Erythematous condition, unspecified | 26.67 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L539 - Erythematous condition, unspecified | 18.97 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L539 - Erythematous condition, unspecified | $1,566,431 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L539 - Erythematous condition, unspecified | $1,424 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L539 - Erythematous condition, unspecified | $7,641 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L539 - Erythematous condition, unspecified | $7,315,302 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L539 - Erythematous condition, unspecified | $35,684 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L539 - Erythematous condition, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L539 - Erythematous condition, unspecified | 30.73 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L539 - Erythematous condition, unspecified | 40.98 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 159 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 151 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 147 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BRETT R SMITH | 1040 GULF BREEZE PKWY | GULF BREEZE | FL | 32561 | 30 |
| Dr. GREGORY WARD | 8338 SUMMA AVE | BATON ROUGE | LA | 70809 | 27 |
| Dr. PAUL F TUROWSKI | 34501 AURORA RD | SOLON | OH | 44139 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL W HENNIGAN | 1847 FLORIDA AVE | PANAMA CITY | FL | 32405 | 66 |
| Dr. GREGORY WARD | 8338 SUMMA AVE | BATON ROUGE | LA | 70809 | 47 |
| Dr. KEITH ROBINSON | 333 BORTHWICK AVE | PORTSMOUTH | NH | 03801 | 41 |