*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89229 - Pressure ulcer of left hip, unspecified stage - as a primary diagnosis code | L89229 - Pressure ulcer of left hip, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.26 | |
| Readmission Rate (%) | 30.35 | |
| Unplanned Readmission Rate (%) | 13.48 | |
| 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) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 L89229 - Pressure ulcer of left hip, unspecified stage | 36 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89229 - Pressure ulcer of left hip, unspecified stage in DRG | 23.08 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 7.0 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 36.67 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | NA | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $254,012 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $1,008 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $7,056 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $1,634,997 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $45,417 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | NA | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 998 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89229 - Pressure ulcer of left hip, unspecified stage in DRG | 19.21 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 7.46 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 29.02 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 20.65 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $12,030,301 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $1,615 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $12,054 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $65,142,355 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $65,273 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 18.04 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 31.76 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 9.32 |
*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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 101 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89229 - Pressure ulcer of left hip, unspecified stage in DRG | 1.94 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 6.45 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 20.88 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 14.29 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $766,043 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $1,177 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $7,585 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $3,727,697 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $36,908 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 37.62 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 17.82 |
*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 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 78 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89229 - Pressure ulcer of left hip, unspecified stage in DRG | 1.5 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 13.69 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 46.97 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 30.3 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $2,112,641 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $1,978 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $27,085 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $8,213,109 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $105,296 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 30.77 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 69 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89229 - Pressure ulcer of left hip, unspecified stage in DRG | 1.33 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 5.57 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 25.42 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 18.64 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $632,315 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $1,647 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $9,164 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $2,666,142 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89229 - Pressure ulcer of left hip, unspecified stage | $38,640 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 28.99 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89229 - Pressure ulcer of left hip, unspecified stage | 15.94 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 17 |
| UNIVERSITY OF MARYLAND BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DR | GLEN BURNIE | MD | 21061 | 17 |
| CAPE FEAR VALLEY MEDICAL CENTER | 1638 OWEN DR | FAYETTEVILLE | NC | 28304 | 16 |