*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89151 - Pressure ulcer of sacral region, stage 1 - as a primary diagnosis code | L89151 - Pressure ulcer of sacral region, stage 1 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.8 | |
| Readmission Rate (%) | 28.28 | |
| Unplanned Readmission Rate (%) | 21.59 | |
| 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 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||
| Total Hospitalizations with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 99 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD L89151 - Pressure ulcer of sacral region, stage 1 in DRG | 54.7 | ||
| Avg LOS at DRG | 5.64 | ||
| Avg LOS with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 5.63 | ||
| Readmission Rate at DRG | 22.72 | ||
| Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 23.71 | ||
| Unplanned Readmission Rate at DRG | 14.28 | ||
| Unplanned Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 19.59 | ||
| Total Medicare payments at DRG | $89,658,501 | ||
| Total Medicare payments with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $703,552 | ||
| Total Medicare payment per Day at DRG | $1,271 | ||
| Total Medicare payment per Day with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $1,263 | ||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||
| Total Medicare payment per Hospitalization with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $7,107 | ||
| Total Medicare Charges at DRG | $390,008,015 | ||
| Total Medicare Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $2,626,573 | ||
| Avg Charges at DRG | $31,188 | ||
| Avg Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $26,531 | ||
| Mortality Rate at DRG | 0.5 | ||
| Mortality Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | NA | ||
| SNF Discharge Rate at DRG | 30.53 | ||
| SNF Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 49.49 | ||
| Home Discharge Rate at DRG | 26.79 | ||
| Home Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 14.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 14,376 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89151 - Pressure ulcer of sacral region, stage 1 in DRG | 14.25 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 7.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 28.09 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 20.83 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $186,207,302 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $1,658 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $12,953 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $1,000,126,456 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $69,569 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 13.51 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 40.88 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 8.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 2,194 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD L89151 - Pressure ulcer of sacral region, stage 1 in DRG | 2.17 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 5.56 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 17.29 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $15,937,903 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $1,306 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $7,264 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $88,164,794 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $40,185 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 1.73 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 44.48 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 17.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 1,858 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89151 - Pressure ulcer of sacral region, stage 1 in DRG | 1.84 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 15.58 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 39.85 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 20.71 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $69,472,545 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $2,399 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $37,391 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $334,078,233 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $179,805 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 16.68 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 40.2 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 5.54 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 1,292 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD L89151 - Pressure ulcer of sacral region, stage 1 in DRG | 1.28 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 6.01 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 28.01 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 21.45 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $9,777,241 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $1,260 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $7,568 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $45,724,062 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD L89151 - Pressure ulcer of sacral region, stage 1 | $35,390 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 3.17 | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 37.23 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD L89151 - Pressure ulcer of sacral region, stage 1 | 15.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FREDERICK MEMORIAL HOSPITAL | 400 W 7TH ST | FREDERICK | MD | 21701 | 992 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 748 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 700 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 68 |
| Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 48 |
| Dr. JEFFREY B GIBBERMAN | 4545 POST OAK PLACE DR | HOUSTON | TX | 77027 | 47 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 129 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 107 |
| Dr. SAMIR G PATEL | 2 AMERICAN WAY STE 3 | SPOTSWOOD | NJ | 08884 | 98 |