*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89214 - Pressure ulcer of right hip, stage 4 - as a primary diagnosis code | L89214 - Pressure ulcer of right hip, stage 4 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.69 | |
| Readmission Rate (%) | 37.6 | |
| Unplanned Readmission Rate (%) | 14.92 | |
| 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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L89214 - Pressure ulcer of right hip, stage 4 | 557 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89214 - Pressure ulcer of right hip, stage 4 in DRG | 29.21 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89214 - Pressure ulcer of right hip, stage 4 | 13.56 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 28.22 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 15.75 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89214 - Pressure ulcer of right hip, stage 4 | $7,940,093 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,051 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89214 - Pressure ulcer of right hip, stage 4 | $14,255 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $35,129,220 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $63,069 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 4.31 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 36.98 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 13.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 33,583 |
| Total Hospitalizations with ICD L89214 - Pressure ulcer of right hip, stage 4 | 22 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD L89214 - Pressure ulcer of right hip, stage 4 in DRG | 1.15 |
| Avg LOS at DRG | 11.44 |
| Avg LOS with ICD L89214 - Pressure ulcer of right hip, stage 4 | 10.0 |
| Readmission Rate at DRG | 33.65 |
| Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA |
| Unplanned Readmission Rate at DRG | 21.15 |
| Unplanned Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA |
| Total Medicare payments at DRG | $802,022,870 |
| Total Medicare payments with ICD L89214 - Pressure ulcer of right hip, stage 4 | $470,669 |
| Total Medicare payment per Day at DRG | $2,088 |
| Total Medicare payment per Day with ICD L89214 - Pressure ulcer of right hip, stage 4 | $2,139 |
| Total Medicare payment per Hospitalization at DRG | $23,882 |
| Total Medicare payment per Hospitalization with ICD L89214 - Pressure ulcer of right hip, stage 4 | $21,394 |
| Total Medicare Charges at DRG | $3,957,485,422 |
| Total Medicare Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,484,547 |
| Avg Charges at DRG | $117,842 |
| Avg Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $67,479 |
| Mortality Rate at DRG | 8.73 |
| Mortality Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA |
| SNF Discharge Rate at DRG | 24.87 |
| SNF Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA |
| Home Discharge Rate at DRG | 28.69 |
| Home Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SWEDISH MEDICAL CENTER | 501 E HAMPDEN AVE | ENGLEWOOD | CO | 80113 | 17 |
| PROMISE HOSPITAL OF BATON ROUGE | 5130 MANCUSO LANE | BATON ROUGE | LA | 70809 | 14 |
| SHEPHERD CENTER | 2020 PEACHTREE RD NW | ATLANTA | GA | 30309 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEVEN LEE SNIVELY | 499 E HAMPDEN AVE | ENGLEWOOD | CO | 80113 | 13 |
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 13 |
| Dr. SALAH RUBAYI | 7601 IMPERIAL HWY | DOWNEY | CA | 90242 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 13 |
| Dr. SALAH RUBAYI | 7601 IMPERIAL HWY | DOWNEY | CA | 90242 | 12 |
*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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89214 - Pressure ulcer of right hip, stage 4 | 2,806 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89214 - Pressure ulcer of right hip, stage 4 in DRG | 17.12 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89214 - Pressure ulcer of right hip, stage 4 | 9.24 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 38.17 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 24.99 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89214 - Pressure ulcer of right hip, stage 4 | $35,698,975 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,377 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89214 - Pressure ulcer of right hip, stage 4 | $12,722 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $203,667,866 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $72,583 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 10.12 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 31.36 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 9.84 |
*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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,564 | ||||
| Total Hospitalizations with ICD L89214 - Pressure ulcer of right hip, stage 4 | 800 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89214 - Pressure ulcer of right hip, stage 4 in DRG | 4.88 | ||||
| Avg LOS at DRG | 11.79 | ||||
| Avg LOS with ICD L89214 - Pressure ulcer of right hip, stage 4 | 16.64 | ||||
| Readmission Rate at DRG | 31.21 | ||||
| Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 34.93 | ||||
| Unplanned Readmission Rate at DRG | 16.98 | ||||
| Unplanned Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 18.46 | ||||
| Total Medicare payments at DRG | $382,049,643 | ||||
| Total Medicare payments with ICD L89214 - Pressure ulcer of right hip, stage 4 | $18,542,385 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,393 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,528 | ||||
| Total Medicare payment per Hospitalization with ICD L89214 - Pressure ulcer of right hip, stage 4 | $23,178 | ||||
| Total Medicare Charges at DRG | $1,800,893,222 | ||||
| Total Medicare Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $82,735,014 | ||||
| Avg Charges at DRG | $92,051 | ||||
| Avg Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $103,419 | ||||
| Mortality Rate at DRG | 2.9 | ||||
| Mortality Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 2.25 | ||||
| SNF Discharge Rate at DRG | 33.4 | ||||
| SNF Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 38.63 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 8.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,592 | ||||
| Total Hospitalizations with ICD L89214 - Pressure ulcer of right hip, stage 4 | 387 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD L89214 - Pressure ulcer of right hip, stage 4 in DRG | 2.36 | ||||
| Avg LOS at DRG | 17.98 | ||||
| Avg LOS with ICD L89214 - Pressure ulcer of right hip, stage 4 | 19.94 | ||||
| Readmission Rate at DRG | 33.54 | ||||
| Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 32.88 | ||||
| Unplanned Readmission Rate at DRG | 12.5 | ||||
| Unplanned Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 10.33 | ||||
| Total Medicare payments at DRG | $133,808,747 | ||||
| Total Medicare payments with ICD L89214 - Pressure ulcer of right hip, stage 4 | $11,014,339 | ||||
| Total Medicare payment per Day at DRG | $1,621 | ||||
| Total Medicare payment per Day with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,427 | ||||
| Total Medicare payment per Hospitalization at DRG | $29,140 | ||||
| Total Medicare payment per Hospitalization with ICD L89214 - Pressure ulcer of right hip, stage 4 | $28,461 | ||||
| Total Medicare Charges at DRG | $609,065,291 | ||||
| Total Medicare Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $59,698,254 | ||||
| Avg Charges at DRG | $132,636 | ||||
| Avg Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $154,259 | ||||
| Mortality Rate at DRG | 1.74 | ||||
| Mortality Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 39.5 | ||||
| SNF Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 37.73 | ||||
| Home Discharge Rate at DRG | 10.98 | ||||
| Home Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 10.59 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L89214 - Pressure ulcer of right hip, stage 4 | 154 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89214 - Pressure ulcer of right hip, stage 4 in DRG | 0.94 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89214 - Pressure ulcer of right hip, stage 4 | 7.86 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 29.66 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 24.14 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,392,081 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89214 - Pressure ulcer of right hip, stage 4 | $1,150 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89214 - Pressure ulcer of right hip, stage 4 | $9,039 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $7,174,353 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89214 - Pressure ulcer of right hip, stage 4 | $46,587 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 30.52 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89214 - Pressure ulcer of right hip, stage 4 | 20.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| KINGSBROOK JEWISH MEDICAL CENTER | 585 SCHENECTADY AVE | BROOKLYN | NY | 11203 | 75 |
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 72 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 69 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 40 |
| Dr. CAROL PATRICIA ROBERTINE BOWEN-WELLS | 3 SHIRCLIFF WAY | JACKSONVILLE | FL | 32204 | 29 |
| Dr. MONIQUE LEONA CONSOER | 46 LOUIS PRIMA DR | COVINGTON | LA | 70433 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BORIS KHORETS | 2912 AVENUE X | BROOKLYN | NY | 11235 | 32 |
| Dr. MICHAEL RUSSO | 1111 MEDICAL CENTER BLVD | MARRERO | LA | 70072 | 24 |
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 24 |