*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89224 - Pressure ulcer of left hip, stage 4 - as a primary diagnosis code | L89224 - Pressure ulcer of left hip, stage 4 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.68 | |
| Readmission Rate (%) | 37.63 | |
| Unplanned Readmission Rate (%) | 15.82 | |
| 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 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 L89224 - Pressure ulcer of left hip, stage 4 | 599 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89224 - Pressure ulcer of left hip, stage 4 in DRG | 28.87 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89224 - Pressure ulcer of left hip, stage 4 | 14.85 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 30.45 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 17.49 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89224 - Pressure ulcer of left hip, stage 4 | $9,017,464 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89224 - Pressure ulcer of left hip, stage 4 | $1,014 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89224 - Pressure ulcer of left hip, stage 4 | $15,054 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $40,924,601 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $68,322 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 5.68 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 33.72 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 12.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 L89224 - Pressure ulcer of left hip, stage 4 | 12 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD L89224 - Pressure ulcer of left hip, stage 4 in DRG | 0.58 |
| Avg LOS at DRG | 11.44 |
| Avg LOS with ICD L89224 - Pressure ulcer of left hip, stage 4 | 10.58 |
| Readmission Rate at DRG | 33.65 |
| Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA |
| Unplanned Readmission Rate at DRG | 21.15 |
| Unplanned Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA |
| Total Medicare payments at DRG | $802,022,870 |
| Total Medicare payments with ICD L89224 - Pressure ulcer of left hip, stage 4 | $248,042 |
| Total Medicare payment per Day at DRG | $2,088 |
| Total Medicare payment per Day with ICD L89224 - Pressure ulcer of left hip, stage 4 | $1,953 |
| Total Medicare payment per Hospitalization at DRG | $23,882 |
| Total Medicare payment per Hospitalization with ICD L89224 - Pressure ulcer of left hip, stage 4 | $20,670 |
| Total Medicare Charges at DRG | $3,957,485,422 |
| Total Medicare Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $663,377 |
| Avg Charges at DRG | $117,842 |
| Avg Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $55,281 |
| Mortality Rate at DRG | 8.73 |
| Mortality Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA |
| SNF Discharge Rate at DRG | 24.87 |
| SNF Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA |
| Home Discharge Rate at DRG | 28.69 |
| Home Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CALVARY HOSPITAL | 1740 EASTCHESTER RD | BRONX | NY | 10461 | 20 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 15 |
| CORNERSTONE HOSPITAL OF WEST MONROE | 6198 CYPRESS ST | WEST MONROE | LA | 71291 | 15 |
*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 L89224 - Pressure ulcer of left hip, stage 4 | 2,802 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89224 - Pressure ulcer of left hip, stage 4 in DRG | 17.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89224 - Pressure ulcer of left hip, stage 4 | 9.31 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 38.23 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 25.4 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89224 - Pressure ulcer of left hip, stage 4 | $35,779,906 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89224 - Pressure ulcer of left hip, stage 4 | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89224 - Pressure ulcer of left hip, stage 4 | $12,769 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $204,135,075 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $72,853 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 9.71 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 34.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 8.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89224 - Pressure ulcer of left hip, stage 4 | 794 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89224 - Pressure ulcer of left hip, stage 4 in DRG | 4.98 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89224 - Pressure ulcer of left hip, stage 4 | 18.73 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 37.93 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 20.31 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89224 - Pressure ulcer of left hip, stage 4 | $27,582,743 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89224 - Pressure ulcer of left hip, stage 4 | $1,855 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89224 - Pressure ulcer of left hip, stage 4 | $34,739 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $111,520,190 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $140,454 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 5.79 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 36.27 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 8.56 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 4,592 | ||||
| Total Hospitalizations with ICD L89224 - Pressure ulcer of left hip, stage 4 | 337 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD L89224 - Pressure ulcer of left hip, stage 4 in DRG | 2.11 | ||||
| Avg LOS at DRG | 17.98 | ||||
| Avg LOS with ICD L89224 - Pressure ulcer of left hip, stage 4 | 19.88 | ||||
| Readmission Rate at DRG | 33.54 | ||||
| Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 33.85 | ||||
| Unplanned Readmission Rate at DRG | 12.5 | ||||
| Unplanned Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 12.42 | ||||
| Total Medicare payments at DRG | $133,808,747 | ||||
| Total Medicare payments with ICD L89224 - Pressure ulcer of left hip, stage 4 | $10,146,357 | ||||
| Total Medicare payment per Day at DRG | $1,621 | ||||
| Total Medicare payment per Day with ICD L89224 - Pressure ulcer of left hip, stage 4 | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $29,140 | ||||
| Total Medicare payment per Hospitalization with ICD L89224 - Pressure ulcer of left hip, stage 4 | $30,108 | ||||
| Total Medicare Charges at DRG | $609,065,291 | ||||
| Total Medicare Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $50,897,249 | ||||
| Avg Charges at DRG | $132,636 | ||||
| Avg Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $151,030 | ||||
| Mortality Rate at DRG | 1.74 | ||||
| Mortality Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 39.5 | ||||
| SNF Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 41.25 | ||||
| Home Discharge Rate at DRG | 10.98 | ||||
| Home Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 8.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,482 | ||||
| Total Hospitalizations with ICD L89224 - Pressure ulcer of left hip, stage 4 | 143 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD L89224 - Pressure ulcer of left hip, stage 4 in DRG | 0.9 | ||||
| Avg LOS at DRG | 11.91 | ||||
| Avg LOS with ICD L89224 - Pressure ulcer of left hip, stage 4 | 17.62 | ||||
| Readmission Rate at DRG | 34.36 | ||||
| Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 27.48 | ||||
| Unplanned Readmission Rate at DRG | 16.28 | ||||
| Unplanned Readmission Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 16.79 | ||||
| Total Medicare payments at DRG | $220,435,927 | ||||
| Total Medicare payments with ICD L89224 - Pressure ulcer of left hip, stage 4 | $3,923,223 | ||||
| Total Medicare payment per Day at DRG | $1,952 | ||||
| Total Medicare payment per Day with ICD L89224 - Pressure ulcer of left hip, stage 4 | $1,557 | ||||
| Total Medicare payment per Hospitalization at DRG | $23,248 | ||||
| Total Medicare payment per Hospitalization with ICD L89224 - Pressure ulcer of left hip, stage 4 | $27,435 | ||||
| Total Medicare Charges at DRG | $1,046,292,995 | ||||
| Total Medicare Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $19,152,974 | ||||
| Avg Charges at DRG | $110,345 | ||||
| Avg Charges with ICD L89224 - Pressure ulcer of left hip, stage 4 | $133,937 | ||||
| Mortality Rate at DRG | 3.47 | ||||
| Mortality Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 36.8 | ||||
| SNF Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | 47.55 | ||||
| Home Discharge Rate at DRG | 16.41 | ||||
| Home Discharge Rate with ICD L89224 - Pressure ulcer of left hip, stage 4 | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 80 |
| KINGSBROOK JEWISH MEDICAL CENTER | 585 SCHENECTADY AVE | BROOKLYN | NY | 11203 | 75 |
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 73 |
| 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 | 46 |
| Dr. JOSEPH A RACANELLI | 9 MADISON ST | MORRISTOWN | NJ | 07960 | 25 |
| Dr. ALBERTO RENE MALDONADO | 3 AUDUBON PLAZA DR | LOUISVILLE | KY | 40217 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MICHAEL RUSSO | 1111 MEDICAL CENTER BLVD | MARRERO | LA | 70072 | 31 |
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 25 |
| Dr. WILLIAM ST. JOHN LACORTE | 519 METAIRIE RD | METAIRIE | LA | 70005 | 22 |