*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89302 - Pressure ulcer of unspecified buttock, stage 2 - as a primary diagnosis code | L89302 - Pressure ulcer of unspecified buttock, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.14 | |
| Readmission Rate (%) | 29.73 | |
| Unplanned Readmission Rate (%) | 15.79 | |
| 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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||
| Total Hospitalizations with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 57 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 in DRG | 56.44 | ||
| Avg LOS at DRG | 5.64 | ||
| Avg LOS with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 5.19 | ||
| Readmission Rate at DRG | 22.72 | ||
| Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 22.22 | ||
| Unplanned Readmission Rate at DRG | 14.28 | ||
| Unplanned Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | NA | ||
| Total Medicare payments at DRG | $89,658,501 | ||
| Total Medicare payments with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $398,567 | ||
| Total Medicare payment per Day at DRG | $1,271 | ||
| Total Medicare payment per Day with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,347 | ||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||
| Total Medicare payment per Hospitalization with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $6,992 | ||
| Total Medicare Charges at DRG | $390,008,015 | ||
| Total Medicare Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,447,609 | ||
| Avg Charges at DRG | $31,188 | ||
| Avg Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $25,397 | ||
| Mortality Rate at DRG | 0.5 | ||
| Mortality Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | NA | ||
| SNF Discharge Rate at DRG | 30.53 | ||
| SNF Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 45.61 | ||
| Home Discharge Rate at DRG | 26.79 | ||
| Home Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 19.3 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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 L89302 - Pressure ulcer of unspecified buttock, stage 2 | 2,554 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 in DRG | 14.36 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 7.83 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 28.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 19.63 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $32,239,227 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,611 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $12,623 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $170,177,367 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $66,632 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 13.55 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 40.64 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 8.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 404 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 in DRG | 2.27 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 4.58 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 18.23 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $2,147,739 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,162 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $5,316 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $9,980,743 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $24,705 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 41.34 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 16.09 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 283 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 in DRG | 1.59 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 5.44 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 24.09 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 15.33 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,717,779 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,116 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $6,070 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $8,680,820 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $30,674 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 47.7 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 17.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 101,617 | ||||
| Total Hospitalizations with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 211 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 in DRG | 1.19 | ||||
| Avg LOS at DRG | 9.5 | ||||
| Avg LOS with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 11.48 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 32.1 | ||||
| Unplanned Readmission Rate at DRG | 19.26 | ||||
| Unplanned Readmission Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 23.46 | ||||
| Total Medicare payments at DRG | $1,599,186,807 | ||||
| Total Medicare payments with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $3,612,878 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $1,491 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,737 | ||||
| Total Medicare payment per Hospitalization with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $17,123 | ||||
| Total Medicare Charges at DRG | $4,836,538,333 | ||||
| Total Medicare Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $9,663,935 | ||||
| Avg Charges at DRG | $47,596 | ||||
| Avg Charges with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | $45,801 | ||||
| Mortality Rate at DRG | 2.8 | ||||
| Mortality Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 20.21 | ||||
| SNF Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 16.11 | ||||
| Home Discharge Rate at DRG | 20.17 | ||||
| Home Discharge Rate with ICD L89302 - Pressure ulcer of unspecified buttock, stage 2 | 9.95 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 91 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF MONTGOMERY | 4465 NARROW LANE RD | MONTGOMERY | AL | 36116 | 76 |
| TORRANCE MEMORIAL MEDICAL CENTER | 3330 LOMITA BLVD | TORRANCE | CA | 90505 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 17 |
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 76 |
| Dr. JOSEPH MICHAEL GNOYSKI | 657 N TOWN CENTER DR | LAS VEGAS | NV | 89144 | 33 |
| Dr. LOUIS V EBERLE | 6263 POPLAR AVE | MEMPHIS | TN | 38119 | 23 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |