*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89223 - Pressure ulcer of left hip, stage 3 - as a primary diagnosis code | L89223 - Pressure ulcer of left hip, stage 3 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.46 | |
| Readmission Rate (%) | 34.55 | |
| Unplanned Readmission Rate (%) | 17.9 | |
| 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L89223 - Pressure ulcer of left hip, stage 3 | 226 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89223 - Pressure ulcer of left hip, stage 3 in DRG | 41.24 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89223 - Pressure ulcer of left hip, stage 3 | 10.05 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 29.52 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 20.48 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89223 - Pressure ulcer of left hip, stage 3 | $2,801,257 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,233 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89223 - Pressure ulcer of left hip, stage 3 | $12,395 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $11,256,575 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $49,808 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 39.38 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 13.27 |
*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 L89223 - Pressure ulcer of left hip, stage 3 | 1,737 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89223 - Pressure ulcer of left hip, stage 3 in DRG | 19.23 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89223 - Pressure ulcer of left hip, stage 3 | 8.64 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 33.31 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 22.92 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89223 - Pressure ulcer of left hip, stage 3 | $22,691,335 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,512 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89223 - Pressure ulcer of left hip, stage 3 | $13,064 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $121,666,031 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $70,044 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 11.92 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 35.46 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 8.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89223 - Pressure ulcer of left hip, stage 3 | 234 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89223 - Pressure ulcer of left hip, stage 3 in DRG | 2.59 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89223 - Pressure ulcer of left hip, stage 3 | 5.33 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 27.8 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 19.28 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,666,327 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,336 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89223 - Pressure ulcer of left hip, stage 3 | $7,121 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $8,036,698 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $34,345 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 34.62 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 17.52 |
*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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD L89223 - Pressure ulcer of left hip, stage 3 | 175 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD L89223 - Pressure ulcer of left hip, stage 3 in DRG | 1.94 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD L89223 - Pressure ulcer of left hip, stage 3 | 8.14 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 27.74 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 25.16 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD L89223 - Pressure ulcer of left hip, stage 3 | $2,284,892 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,605 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD L89223 - Pressure ulcer of left hip, stage 3 | $13,057 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $10,258,673 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $58,621 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 7.43 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 30.86 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 16.0 |
*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 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L89223 - Pressure ulcer of left hip, stage 3 | 129 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89223 - Pressure ulcer of left hip, stage 3 in DRG | 1.43 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89223 - Pressure ulcer of left hip, stage 3 | 6.94 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 31.4 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 20.66 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,255,208 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89223 - Pressure ulcer of left hip, stage 3 | $1,402 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89223 - Pressure ulcer of left hip, stage 3 | $9,730 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $6,314,201 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89223 - Pressure ulcer of left hip, stage 3 | $48,947 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 32.56 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89223 - Pressure ulcer of left hip, stage 3 | 20.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 43 |
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 40 |
| WHITE PLAINS HOSPITAL CENTER | 41 E POST ROAD | WHITE PLAINS | NY | 10601 | 38 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 13 |