*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L88 - Pyoderma gangrenosum - as a primary diagnosis code | L88 - Pyoderma gangrenosum - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.3 | |
| Readmission Rate (%) | 32.78 | |
| Unplanned Readmission Rate (%) | 19.57 | |
| 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 L88 - Pyoderma gangrenosum | 740 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L88 - Pyoderma gangrenosum in DRG | 67.46 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L88 - Pyoderma gangrenosum | 6.21 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L88 - Pyoderma gangrenosum | 29.15 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L88 - Pyoderma gangrenosum | 19.97 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L88 - Pyoderma gangrenosum | $4,762,361 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L88 - Pyoderma gangrenosum | $1,037 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L88 - Pyoderma gangrenosum | $6,436 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L88 - Pyoderma gangrenosum | $29,592,654 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L88 - Pyoderma gangrenosum | $39,990 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L88 - Pyoderma gangrenosum | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L88 - Pyoderma gangrenosum | 14.86 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L88 - Pyoderma gangrenosum | 42.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 576: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,954 | ||
| Total Hospitalizations with ICD L88 - Pyoderma gangrenosum | 23 | ||
| DRG Share of Total Hospitalizations | 0.02 | ||
| % of Total ICD L88 - Pyoderma gangrenosum in DRG | 2.1 | ||
| Avg LOS at DRG | 6.64 | ||
| Avg LOS with ICD L88 - Pyoderma gangrenosum | 11.61 | ||
| Readmission Rate at DRG | 17.16 | ||
| Readmission Rate with ICD L88 - Pyoderma gangrenosum | NA | ||
| Unplanned Readmission Rate at DRG | 8.02 | ||
| Unplanned Readmission Rate with ICD L88 - Pyoderma gangrenosum | NA | ||
| Total Medicare payments at DRG | $84,474,633 | ||
| Total Medicare payments with ICD L88 - Pyoderma gangrenosum | $382,756 | ||
| Total Medicare payment per Day at DRG | $2,569 | ||
| Total Medicare payment per Day with ICD L88 - Pyoderma gangrenosum | $1,434 | ||
| Total Medicare payment per Hospitalization at DRG | $17,052 | ||
| Total Medicare payment per Hospitalization with ICD L88 - Pyoderma gangrenosum | $16,642 | ||
| Total Medicare Charges at DRG | $441,452,397 | ||
| Total Medicare Charges with ICD L88 - Pyoderma gangrenosum | $2,560,438 | ||
| Avg Charges at DRG | $89,110 | ||
| Avg Charges with ICD L88 - Pyoderma gangrenosum | $111,323 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD L88 - Pyoderma gangrenosum | NA | ||
| SNF Discharge Rate at DRG | 22.29 | ||
| SNF Discharge Rate with ICD L88 - Pyoderma gangrenosum | NA | ||
| Home Discharge Rate at DRG | 41.99 | ||
| Home Discharge Rate with ICD L88 - Pyoderma gangrenosum | 52.17 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AUGUSTA HEALTH | 78 MEDICAL CENTER DR | FISHERSVILLE | VA | 22939 | 27 |
| ABINGTON MEMORIAL HOSPITAL | 1200 OLD YORK RD | ABINGTON | PA | 19001 | 13 |
| UNIVERSITY OF NORTH CAROLINA HOSPITAL | 101 MANNING DR | CHAPEL HILL | NC | 27514 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT S KIRSNER | 1475 NW 12 AVE | MIAMI | FL | 33101 | 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 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L88 - Pyoderma gangrenosum | 1,275 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L88 - Pyoderma gangrenosum in DRG | 18.18 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L88 - Pyoderma gangrenosum | 5.91 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L88 - Pyoderma gangrenosum | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L88 - Pyoderma gangrenosum | 19.67 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L88 - Pyoderma gangrenosum | $7,802,367 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L88 - Pyoderma gangrenosum | $1,036 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L88 - Pyoderma gangrenosum | $6,120 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L88 - Pyoderma gangrenosum | $48,263,267 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L88 - Pyoderma gangrenosum | $37,854 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L88 - Pyoderma gangrenosum | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L88 - Pyoderma gangrenosum | 14.9 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L88 - Pyoderma gangrenosum | 42.04 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L88 - Pyoderma gangrenosum | 157 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L88 - Pyoderma gangrenosum in DRG | 2.24 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L88 - Pyoderma gangrenosum | 16.63 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L88 - Pyoderma gangrenosum | 48.74 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L88 - Pyoderma gangrenosum | 19.33 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L88 - Pyoderma gangrenosum | $6,452,984 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L88 - Pyoderma gangrenosum | $2,471 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L88 - Pyoderma gangrenosum | $41,102 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L88 - Pyoderma gangrenosum | $30,103,814 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L88 - Pyoderma gangrenosum | $191,744 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L88 - Pyoderma gangrenosum | 18.47 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L88 - Pyoderma gangrenosum | 31.85 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L88 - Pyoderma gangrenosum | 8.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 130,303 | ||||
| Total Hospitalizations with ICD L88 - Pyoderma gangrenosum | 88 | ||||
| DRG Share of Total Hospitalizations | 0.4 | ||||
| % of Total ICD L88 - Pyoderma gangrenosum in DRG | 1.25 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L88 - Pyoderma gangrenosum | 5.35 | ||||
| Readmission Rate at DRG | 20.31 | ||||
| Readmission Rate with ICD L88 - Pyoderma gangrenosum | 30.95 | ||||
| Unplanned Readmission Rate at DRG | 14.61 | ||||
| Unplanned Readmission Rate with ICD L88 - Pyoderma gangrenosum | 21.43 | ||||
| Total Medicare payments at DRG | $778,992,768 | ||||
| Total Medicare payments with ICD L88 - Pyoderma gangrenosum | $598,733 | ||||
| Total Medicare payment per Day at DRG | $1,517 | ||||
| Total Medicare payment per Day with ICD L88 - Pyoderma gangrenosum | $1,271 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,978 | ||||
| Total Medicare payment per Hospitalization with ICD L88 - Pyoderma gangrenosum | $6,804 | ||||
| Total Medicare Charges at DRG | $4,222,655,144 | ||||
| Total Medicare Charges with ICD L88 - Pyoderma gangrenosum | $3,418,591 | ||||
| Avg Charges at DRG | $32,406 | ||||
| Avg Charges with ICD L88 - Pyoderma gangrenosum | $38,848 | ||||
| Mortality Rate at DRG | 0.93 | ||||
| Mortality Rate with ICD L88 - Pyoderma gangrenosum | NA | ||||
| SNF Discharge Rate at DRG | 14.17 | ||||
| SNF Discharge Rate with ICD L88 - Pyoderma gangrenosum | NA | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD L88 - Pyoderma gangrenosum | 54.55 |
*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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||||
| Total Hospitalizations with ICD L88 - Pyoderma gangrenosum | 65 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L88 - Pyoderma gangrenosum in DRG | 0.93 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD L88 - Pyoderma gangrenosum | 16.86 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD L88 - Pyoderma gangrenosum | 41.67 | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD L88 - Pyoderma gangrenosum | 30.0 | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD L88 - Pyoderma gangrenosum | $1,587,759 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD L88 - Pyoderma gangrenosum | $1,449 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD L88 - Pyoderma gangrenosum | $24,427 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD L88 - Pyoderma gangrenosum | $8,168,630 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD L88 - Pyoderma gangrenosum | $125,671 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD L88 - Pyoderma gangrenosum | NA | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD L88 - Pyoderma gangrenosum | 43.08 | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD L88 - Pyoderma gangrenosum | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 47 |
| AUGUSTA HEALTH | 78 MEDICAL CENTER DR | FISHERSVILLE | VA | 22939 | 44 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 37 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTINA Y. KIM | 1235 OLD YORK RD | ABINGTON | PA | 19001 | 15 |
| Dr. ROBERT S KIRSNER | 1475 NW 12 AVE | MIAMI | FL | 33101 | 13 |
| Dr. HARRY ASHBY DE BUTTS | 251 STENTON AVE | PLYMOUTH MEETING | PA | 19462 | 11 |