*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89312 - Pressure ulcer of right buttock, stage 2 - as a primary diagnosis code | L89312 - Pressure ulcer of right buttock, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.83 | |
| Readmission Rate (%) | 30.66 | |
| Unplanned Readmission Rate (%) | 17.37 | |
| 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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 200 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89312 - Pressure ulcer of right buttock, stage 2 in DRG | 52.91 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 5.75 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 27.23 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 18.85 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $1,414,967 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $1,229 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $7,075 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $5,891,055 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $29,455 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 46.0 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 11.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 8,160 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89312 - Pressure ulcer of right buttock, stage 2 in DRG | 13.33 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 8.35 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 30.14 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 21.11 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $104,006,146 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $1,526 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $12,746 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $574,869,891 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $70,450 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 12.59 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 42.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 7.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 1,437 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L89312 - Pressure ulcer of right buttock, stage 2 in DRG | 2.35 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 14.26 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 37.17 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 26.67 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $24,700,175 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $1,205 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $17,189 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $123,876,157 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $86,205 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 11.2 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 40.22 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 8.07 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 1,046 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89312 - Pressure ulcer of right buttock, stage 2 in DRG | 1.71 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 5.56 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 27.76 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 20.87 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $6,615,351 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $1,138 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $6,324 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $35,870,904 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $34,293 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 50.19 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 13.29 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE 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 L89312 - Pressure ulcer of right buttock, stage 2 | 710 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD L89312 - Pressure ulcer of right buttock, stage 2 in DRG | 1.16 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 14.13 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 16.67 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 12.11 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $13,828,746 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $1,378 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $19,477 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $36,477,636 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD L89312 - Pressure ulcer of right buttock, stage 2 | $51,377 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 27.04 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD L89312 - Pressure ulcer of right buttock, stage 2 | 10.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FREDERICK MEMORIAL HOSPITAL | 400 W 7TH ST | FREDERICK | MD | 21701 | 348 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 249 |
| MARTIN MEDICAL CENTER | 200 SE HOSPITAL AVE | STUART | FL | 34994 | 219 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM GREGORY MORGAN | 1705 RENAISSANCE BLVD | EDMOND | OK | 73013 | 25 |
| Dr. JEFFREY B GIBBERMAN | 4545 POST OAK PLACE DR | HOUSTON | TX | 77027 | 25 |
| Dr. NATHAN A WATSON | 600 N HIGHLAND AVE | SHERMAN | TX | 75092 | 25 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FELIX JAMES ALLEN | 2257 TAYLOR RD | MONTGOMERY | AL | 36117 | 47 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 46 |
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 44 |