*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
L89152 - Pressure ulcer of sacral region, stage 2 - as a primary diagnosis code | L89152 - Pressure ulcer of sacral region, stage 2 - as a primary or secondary diagnosis code | |
---|---|---|
OUTCOMES | ||
Avg. LOS | 10.17 | |
Readmission Rate (%) | 31.57 | |
Unplanned Readmission Rate (%) | 17.83 | |
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) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 12,505 | ||||
Total Hospitalizations with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 804 | ||||
DRG Share of Total Hospitalizations | 0.04 | ||||
% of Total ICD L89152 - Pressure ulcer of sacral region, stage 2 in DRG | 46.91 | ||||
Avg LOS at DRG | 5.64 | ||||
Avg LOS with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 5.87 | ||||
Readmission Rate at DRG | 22.72 | ||||
Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 25.2 | ||||
Unplanned Readmission Rate at DRG | 14.28 | ||||
Unplanned Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 16.84 | ||||
Total Medicare payments at DRG | $89,658,501 | ||||
Total Medicare payments with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $5,770,852 | ||||
Total Medicare payment per Day at DRG | $1,271 | ||||
Total Medicare payment per Day with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $1,222 | ||||
Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
Total Medicare payment per Hospitalization with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $7,178 | ||||
Total Medicare Charges at DRG | $390,008,015 | ||||
Total Medicare Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $25,123,384 | ||||
Avg Charges at DRG | $31,188 | ||||
Avg Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $31,248 | ||||
Mortality Rate at DRG | 0.5 | ||||
Mortality Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | NA | ||||
SNF Discharge Rate at DRG | 30.53 | ||||
SNF Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 48.38 | ||||
Home Discharge Rate at DRG | 26.79 | ||||
Home Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 9.95 |
*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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 19,564 | ||||
Total Hospitalizations with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 26 | ||||
DRG Share of Total Hospitalizations | 0.06 | ||||
% of Total ICD L89152 - Pressure ulcer of sacral region, stage 2 in DRG | 1.52 | ||||
Avg LOS at DRG | 11.79 | ||||
Avg LOS with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 17.12 | ||||
Readmission Rate at DRG | 31.21 | ||||
Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 70.83 | ||||
Unplanned Readmission Rate at DRG | 16.98 | ||||
Unplanned Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | NA | ||||
Total Medicare payments at DRG | $382,049,643 | ||||
Total Medicare payments with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $582,020 | ||||
Total Medicare payment per Day at DRG | $1,656 | ||||
Total Medicare payment per Day with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $1,308 | ||||
Total Medicare payment per Hospitalization at DRG | $19,528 | ||||
Total Medicare payment per Hospitalization with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $22,385 | ||||
Total Medicare Charges at DRG | $1,800,893,222 | ||||
Total Medicare Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $3,148,539 | ||||
Avg Charges at DRG | $92,051 | ||||
Avg Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $121,098 | ||||
Mortality Rate at DRG | 2.9 | ||||
Mortality Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | NA | ||||
SNF Discharge Rate at DRG | 33.4 | ||||
SNF Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | NA | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | NA |
*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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 L89152 - Pressure ulcer of sacral region, stage 2 | 38,923 | ||||
DRG Share of Total Hospitalizations | 5.5 | ||||
% of Total ICD L89152 - Pressure ulcer of sacral region, stage 2 in DRG | 15.75 | ||||
Avg LOS at DRG | 6.34 | ||||
Avg LOS with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 8.49 | ||||
Readmission Rate at DRG | 24.2 | ||||
Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 30.34 | ||||
Unplanned Readmission Rate at DRG | 16.78 | ||||
Unplanned Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 21.73 | ||||
Total Medicare payments at DRG | $21,288,214,047 | ||||
Total Medicare payments with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $514,093,230 | ||||
Total Medicare payment per Day at DRG | $1,857 | ||||
Total Medicare payment per Day with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $1,556 | ||||
Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
Total Medicare payment per Hospitalization with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $13,208 | ||||
Total Medicare Charges at DRG | $107,155,481,388 | ||||
Total Medicare Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $2,907,292,190 | ||||
Avg Charges at DRG | $59,254 | ||||
Avg Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $74,693 | ||||
Mortality Rate at DRG | 12.11 | ||||
Mortality Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 15.38 | ||||
SNF Discharge Rate at DRG | 27.18 | ||||
SNF Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 39.89 | ||||
Home Discharge Rate at DRG | 25.81 | ||||
Home Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 6.77 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 231,410 | ||||
Total Hospitalizations with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 5,336 | ||||
DRG Share of Total Hospitalizations | 0.7 | ||||
% of Total ICD L89152 - Pressure ulcer of sacral region, stage 2 in DRG | 2.16 | ||||
Avg LOS at DRG | 7.29 | ||||
Avg LOS with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 9.35 | ||||
Readmission Rate at DRG | 25.54 | ||||
Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 29.99 | ||||
Unplanned Readmission Rate at DRG | 18.36 | ||||
Unplanned Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 22.14 | ||||
Total Medicare payments at DRG | $2,801,759,007 | ||||
Total Medicare payments with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $72,118,362 | ||||
Total Medicare payment per Day at DRG | $1,661 | ||||
Total Medicare payment per Day with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $1,445 | ||||
Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
Total Medicare payment per Hospitalization with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $13,515 | ||||
Total Medicare Charges at DRG | $13,366,030,360 | ||||
Total Medicare Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $388,184,250 | ||||
Avg Charges at DRG | $57,759 | ||||
Avg Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $72,748 | ||||
Mortality Rate at DRG | 7.21 | ||||
Mortality Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 9.95 | ||||
SNF Discharge Rate at DRG | 32.47 | ||||
SNF Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 40.74 | ||||
Home Discharge Rate at DRG | 20.84 | ||||
Home Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 7.22 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 443,386 | ||||
Total Hospitalizations with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 3,953 | ||||
DRG Share of Total Hospitalizations | 1.35 | ||||
% of Total ICD L89152 - Pressure ulcer of sacral region, stage 2 in DRG | 1.6 | ||||
Avg LOS at DRG | 5.27 | ||||
Avg LOS with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 7.52 | ||||
Readmission Rate at DRG | 21.6 | ||||
Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 27.45 | ||||
Unplanned Readmission Rate at DRG | 15.91 | ||||
Unplanned Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 21.29 | ||||
Total Medicare payments at DRG | $3,812,834,208 | ||||
Total Medicare payments with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $39,451,570 | ||||
Total Medicare payment per Day at DRG | $1,632 | ||||
Total Medicare payment per Day with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $1,328 | ||||
Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
Total Medicare payment per Hospitalization with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $9,980 | ||||
Total Medicare Charges at DRG | $18,110,468,211 | ||||
Total Medicare Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $219,451,414 | ||||
Avg Charges at DRG | $40,846 | ||||
Avg Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $55,515 | ||||
Mortality Rate at DRG | 3.59 | ||||
Mortality Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 7.84 | ||||
SNF Discharge Rate at DRG | 22.57 | ||||
SNF Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 42.95 | ||||
Home Discharge Rate at DRG | 40.95 | ||||
Home Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 10.78 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
---|---|---|---|---|---|
Total Hospitalizations at DRG | 188,863 | ||||
Total Hospitalizations with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 2,401 | ||||
DRG Share of Total Hospitalizations | 0.57 | ||||
% of Total ICD L89152 - Pressure ulcer of sacral region, stage 2 in DRG | 0.97 | ||||
Avg LOS at DRG | 11.75 | ||||
Avg LOS with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 14.18 | ||||
Readmission Rate at DRG | 12.14 | ||||
Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 17.79 | ||||
Unplanned Readmission Rate at DRG | 7.97 | ||||
Unplanned Readmission Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 12.87 | ||||
Total Medicare payments at DRG | $3,216,901,374 | ||||
Total Medicare payments with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $47,483,904 | ||||
Total Medicare payment per Day at DRG | $1,450 | ||||
Total Medicare payment per Day with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $1,395 | ||||
Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
Total Medicare payment per Hospitalization with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $19,777 | ||||
Total Medicare Charges at DRG | $7,709,712,645 | ||||
Total Medicare Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $128,572,826 | ||||
Avg Charges at DRG | $40,822 | ||||
Avg Charges with ICD L89152 - Pressure ulcer of sacral region, stage 2 | $53,550 | ||||
Mortality Rate at DRG | 0.11 | ||||
Mortality Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | NA | ||||
SNF Discharge Rate at DRG | 19.54 | ||||
SNF Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 29.07 | ||||
Home Discharge Rate at DRG | 19.47 | ||||
Home Discharge Rate with ICD L89152 - Pressure ulcer of sacral region, stage 2 | 10.0 |
Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 1,032 |
MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 857 |
WILKES-BARRE GENERAL HOSPITAL | 575 N RIVER ST | WILKES BARRE | PA | 18764 | 752 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. MARK J AULT | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 65 |
Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 63 |
Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 63 |
Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
---|---|---|---|---|---|
Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 229 |
Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 183 |
Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 168 |