*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89310 - Pressure ulcer of right buttock, unstageable - as a primary diagnosis code | L89310 - Pressure ulcer of right buttock, unstageable - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.11 | |
| Readmission Rate (%) | 32.92 | |
| Unplanned Readmission Rate (%) | 14.84 | |
| 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 570: SKIN DEBRIDEMENT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89310 - Pressure ulcer of right buttock, unstageable | 96 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89310 - Pressure ulcer of right buttock, unstageable in DRG | 34.53 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89310 - Pressure ulcer of right buttock, unstageable | 9.44 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 31.46 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 17.98 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,017,575 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,123 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89310 - Pressure ulcer of right buttock, unstageable | $10,600 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $4,584,394 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $47,754 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 37.5 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 15.63 |
*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) | |
|---|---|
| Total Hospitalizations at DRG | 19,564 |
| Total Hospitalizations with ICD L89310 - Pressure ulcer of right buttock, unstageable | 17 |
| DRG Share of Total Hospitalizations | 0.06 |
| % of Total ICD L89310 - Pressure ulcer of right buttock, unstageable in DRG | 6.12 |
| Avg LOS at DRG | 11.79 |
| Avg LOS with ICD L89310 - Pressure ulcer of right buttock, unstageable | 14.76 |
| Readmission Rate at DRG | 31.21 |
| Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA |
| Unplanned Readmission Rate at DRG | 16.98 |
| Unplanned Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA |
| Total Medicare payments at DRG | $382,049,643 |
| Total Medicare payments with ICD L89310 - Pressure ulcer of right buttock, unstageable | $341,709 |
| Total Medicare payment per Day at DRG | $1,656 |
| Total Medicare payment per Day with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,361 |
| Total Medicare payment per Hospitalization at DRG | $19,528 |
| Total Medicare payment per Hospitalization with ICD L89310 - Pressure ulcer of right buttock, unstageable | $20,101 |
| Total Medicare Charges at DRG | $1,800,893,222 |
| Total Medicare Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $2,458,435 |
| Avg Charges at DRG | $92,051 |
| Avg Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $144,614 |
| Mortality Rate at DRG | 2.9 |
| Mortality Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA |
| SNF Discharge Rate at DRG | 33.4 |
| SNF Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA |
| Home Discharge Rate at DRG | 19.47 |
| Home Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MADONNA REHABILITATION HOSPITAL - LTCH | 5401 SOUTH ST | LINCOLN | NE | 68506 | 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 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89310 - Pressure ulcer of right buttock, unstageable | 2,284 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89310 - Pressure ulcer of right buttock, unstageable in DRG | 14.58 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89310 - Pressure ulcer of right buttock, unstageable | 8.71 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 31.83 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 21.38 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89310 - Pressure ulcer of right buttock, unstageable | $30,334,936 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,524 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89310 - Pressure ulcer of right buttock, unstageable | $13,281 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $165,791,888 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $72,588 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 16.55 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 38.62 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 5.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD L89310 - Pressure ulcer of right buttock, unstageable | 355 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD L89310 - Pressure ulcer of right buttock, unstageable in DRG | 2.27 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L89310 - Pressure ulcer of right buttock, unstageable | 8.73 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 34.01 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 23.23 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD L89310 - Pressure ulcer of right buttock, unstageable | $4,109,949 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,327 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD L89310 - Pressure ulcer of right buttock, unstageable | $11,577 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $21,362,348 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $60,176 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 9.86 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 36.06 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 10.14 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 188,863 | ||||
| Total Hospitalizations with ICD L89310 - Pressure ulcer of right buttock, unstageable | 247 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD L89310 - Pressure ulcer of right buttock, unstageable in DRG | 1.58 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD L89310 - Pressure ulcer of right buttock, unstageable | 14.06 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 11.27 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 7.51 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD L89310 - Pressure ulcer of right buttock, unstageable | $4,857,992 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,399 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD L89310 - Pressure ulcer of right buttock, unstageable | $19,668 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $11,498,498 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $46,553 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 28.74 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 6.88 |
*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 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89310 - Pressure ulcer of right buttock, unstageable | 214 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89310 - Pressure ulcer of right buttock, unstageable in DRG | 1.37 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89310 - Pressure ulcer of right buttock, unstageable | 27.17 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 35.98 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 21.34 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89310 - Pressure ulcer of right buttock, unstageable | $10,296,893 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89310 - Pressure ulcer of right buttock, unstageable | $1,771 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89310 - Pressure ulcer of right buttock, unstageable | $48,116 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $41,834,179 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89310 - Pressure ulcer of right buttock, unstageable | $195,487 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 14.02 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | 42.52 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89310 - Pressure ulcer of right buttock, unstageable | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 324 |
| POST ACUTE MEDICAL SPECIALTY HOSPITAL OF CORPUS CHRISTI | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 296 |
| NOLAND HOSPITAL TUSCALOOSA | 809 UNIVERSITY BOULEVARD, EAST - 4TH FLOOR | TUSCALOOSA | AL | 35401 | 137 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 50 |
| Dr. SAI AVULA | 1118 ROSS CLARK CIR | DOTHAN | AL | 36301 | 27 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 121 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 78 |
| Dr. ENRIQUE CISNEROS RAMOS | 100 MCGREGOR ST | MANCHESTER | NH | 03102 | 56 |