*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89212 - Pressure ulcer of right hip, stage 2 - as a primary diagnosis code | L89212 - Pressure ulcer of right hip, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.07 | |
| Readmission Rate (%) | 29.86 | |
| Unplanned Readmission Rate (%) | 17.35 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||
| Total Hospitalizations with ICD L89212 - Pressure ulcer of right hip, stage 2 | 39 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD L89212 - Pressure ulcer of right hip, stage 2 in DRG | 38.24 | ||
| Avg LOS at DRG | 5.64 | ||
| Avg LOS with ICD L89212 - Pressure ulcer of right hip, stage 2 | 5.79 | ||
| Readmission Rate at DRG | 22.72 | ||
| Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | NA | ||
| Unplanned Readmission Rate at DRG | 14.28 | ||
| Unplanned Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | NA | ||
| Total Medicare payments at DRG | $89,658,501 | ||
| Total Medicare payments with ICD L89212 - Pressure ulcer of right hip, stage 2 | $263,472 | ||
| Total Medicare payment per Day at DRG | $1,271 | ||
| Total Medicare payment per Day with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,166 | ||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||
| Total Medicare payment per Hospitalization with ICD L89212 - Pressure ulcer of right hip, stage 2 | $6,756 | ||
| Total Medicare Charges at DRG | $390,008,015 | ||
| Total Medicare Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,041,158 | ||
| Avg Charges at DRG | $31,188 | ||
| Avg Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $26,696 | ||
| Mortality Rate at DRG | 0.5 | ||
| Mortality Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | NA | ||
| SNF Discharge Rate at DRG | 30.53 | ||
| SNF Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 35.9 | ||
| Home Discharge Rate at DRG | 26.79 | ||
| Home Discharge Rate with ICD L89212 - Pressure ulcer of right hip, 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS 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 L89212 - Pressure ulcer of right hip, stage 2 | 1,624 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89212 - Pressure ulcer of right hip, stage 2 in DRG | 17.91 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89212 - Pressure ulcer of right hip, stage 2 | 8.52 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 28.78 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 19.46 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89212 - Pressure ulcer of right hip, stage 2 | $20,802,191 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89212 - Pressure ulcer of right hip, stage 2 | $12,809 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $106,873,052 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $65,809 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 12.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 38.61 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 7.94 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD L89212 - Pressure ulcer of right hip, stage 2 | 228 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD L89212 - Pressure ulcer of right hip, stage 2 in DRG | 2.51 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD L89212 - Pressure ulcer of right hip, stage 2 | 8.59 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 28.93 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 20.81 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD L89212 - Pressure ulcer of right hip, stage 2 | $3,037,441 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD L89212 - Pressure ulcer of right hip, stage 2 | $13,322 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $14,861,055 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $65,180 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 8.33 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 38.16 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 13.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD L89212 - Pressure ulcer of right hip, stage 2 | 167 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD L89212 - Pressure ulcer of right hip, stage 2 in DRG | 1.84 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD L89212 - Pressure ulcer of right hip, stage 2 | 8.68 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 23.84 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 15.23 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,584,018 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,092 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD L89212 - Pressure ulcer of right hip, stage 2 | $9,485 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $8,519,704 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $51,016 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 7.19 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 40.72 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 7.19 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L89212 - Pressure ulcer of right hip, stage 2 | 120 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89212 - Pressure ulcer of right hip, stage 2 in DRG | 1.32 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89212 - Pressure ulcer of right hip, stage 2 | 5.43 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 19.83 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 13.79 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89212 - Pressure ulcer of right hip, stage 2 | $787,411 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89212 - Pressure ulcer of right hip, stage 2 | $1,208 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89212 - Pressure ulcer of right hip, stage 2 | $6,562 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $3,994,211 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89212 - Pressure ulcer of right hip, stage 2 | $33,285 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 48.33 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89212 - Pressure ulcer of right hip, stage 2 | 16.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK - PRESBYTERIAN/QUEENS | 56-45 MAIN STREET | NEW YORK | NY | 11355 | 52 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 42 |
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 39 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 12 |