*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89313 - Pressure ulcer of right buttock, stage 3 - as a primary diagnosis code | L89313 - Pressure ulcer of right buttock, stage 3 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.43 | |
| Readmission Rate (%) | 34.37 | |
| 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 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 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 466 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89313 - Pressure ulcer of right buttock, stage 3 in DRG | 50.65 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 11.3 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 27.9 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 16.55 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $6,123,215 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $1,163 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $13,140 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $24,451,918 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $52,472 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 43.13 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 11.37 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 4,151 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89313 - Pressure ulcer of right buttock, stage 3 in DRG | 16.15 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 8.81 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 32.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 22.18 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $54,938,405 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $13,235 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $305,441,652 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $73,583 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 11.8 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 39.65 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 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 682: RENAL FAILURE 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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 806 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89313 - Pressure ulcer of right buttock, stage 3 in DRG | 3.14 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 7.96 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 29.31 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 21.39 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $8,827,432 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $1,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $10,952 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $43,171,319 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $53,562 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 6.08 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 46.15 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 8.81 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 473 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD L89313 - Pressure ulcer of right buttock, stage 3 in DRG | 1.84 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 8.9 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 27.19 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 19.62 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $6,269,322 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $1,489 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $13,254 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $32,119,103 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $67,905 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 7.19 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 41.23 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 8.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 412 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD L89313 - Pressure ulcer of right buttock, stage 3 in DRG | 1.6 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 6.35 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 28.39 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 24.74 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $3,467,586 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $1,325 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $8,416 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $16,657,559 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD L89313 - Pressure ulcer of right buttock, stage 3 | $40,431 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 4.37 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 43.45 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD L89313 - Pressure ulcer of right buttock, stage 3 | 11.41 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 249 |
| WHITE PLAINS HOSPITAL CENTER | 41 E POST ROAD | WHITE PLAINS | NY | 10601 | 131 |
| SPARKS REGIONAL MEDICAL CENTER | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 111 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOHN C SIMON | 1970 N HWY 190 | COVINGTON | LA | 70433 | 22 |
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 21 |
| Dr. IYAD K RADWAN | 411 PARK GROVE | KATY | TX | 77450 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MOHAMMED SHAKEEL UR REHMAN | 609 W MAPLE AVE | SPRINGDALE | AR | 72764 | 35 |
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 30 |
| Dr. KAMRAN R QURAISHI | 725 AMERICAN AVE | WAUKESHA | WI | 53188 | 26 |