*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89314 - Pressure ulcer of right buttock, stage 4 - as a primary diagnosis code | L89314 - Pressure ulcer of right buttock, stage 4 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.86 | |
| Readmission Rate (%) | 37.29 | |
| Unplanned Readmission Rate (%) | 14.46 | |
| 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 756 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89314 - Pressure ulcer of right buttock, stage 4 in DRG | 29.04 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 12.54 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 29.0 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 18.54 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $11,006,407 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $1,161 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $14,559 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $50,326,582 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $66,570 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 2.51 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 37.43 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 10.58 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 33,583 |
| Total Hospitalizations with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 33 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD L89314 - Pressure ulcer of right buttock, stage 4 in DRG | 1.27 |
| Avg LOS at DRG | 11.44 |
| Avg LOS with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 13.3 |
| Readmission Rate at DRG | 33.65 |
| Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 35.48 |
| Unplanned Readmission Rate at DRG | 21.15 |
| Unplanned Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | NA |
| Total Medicare payments at DRG | $802,022,870 |
| Total Medicare payments with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $794,026 |
| Total Medicare payment per Day at DRG | $2,088 |
| Total Medicare payment per Day with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $1,809 |
| Total Medicare payment per Hospitalization at DRG | $23,882 |
| Total Medicare payment per Hospitalization with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $24,061 |
| Total Medicare Charges at DRG | $3,957,485,422 |
| Total Medicare Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $2,129,237 |
| Avg Charges at DRG | $117,842 |
| Avg Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $64,522 |
| Mortality Rate at DRG | 8.73 |
| Mortality Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | NA |
| SNF Discharge Rate at DRG | 24.87 |
| SNF Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | NA |
| Home Discharge Rate at DRG | 28.69 |
| Home Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SHEPHERD CENTER | 2020 PEACHTREE RD NW | ATLANTA | GA | 30309 | 23 |
| UNIVERSITY OF UTAH HOSPITAL | 50 N MEDICAL DR | SALT LAKE CITY | UT | 84132 | 18 |
| KINDRED HOSPITAL TARRANT COUNTY - FORT WORTH SOUTHWEST | 7800 OAKMONT BLVD | FORT WORTH | TX | 76132 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 18 |
| Dr. DAVID M GODAT | 11970 N CENTRAL EXPY | DALLAS | TX | 75243 | 16 |
| Dr. ROBERT GALIANO | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 22 |
| Dr. MARIE-CLAIRE BUCKLEY | UNIVERSITY OF MINNESOTA PHYSICIANS | MINNEAPOLIS | MN | 55455 | 14 |
| Dr. ROBERT GALIANO | 680 N LAKE SHORE DR | CHICAGO | IL | 60611 | 13 |
*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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 2,917 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89314 - Pressure ulcer of right buttock, stage 4 in DRG | 15.31 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 8.78 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 37.42 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 23.81 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $36,811,937 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $1,437 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $12,620 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $202,657,353 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $69,475 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 8.3 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 30.44 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 11.52 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||||
| Total Hospitalizations with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 1,018 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89314 - Pressure ulcer of right buttock, stage 4 in DRG | 5.34 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 17.84 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 35.87 | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 18.46 | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $23,147,477 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $1,275 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $22,738 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $108,619,403 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $106,699 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 1.96 | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 43.12 | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 8.64 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 358 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L89314 - Pressure ulcer of right buttock, stage 4 in DRG | 1.88 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 16.94 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 48.69 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 31.46 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $14,071,881 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $2,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $39,307 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $78,526,909 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $219,349 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 22.91 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 40.78 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,541 | ||||
| Total Hospitalizations with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 184 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L89314 - Pressure ulcer of right buttock, stage 4 in DRG | 0.97 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 6.17 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 20.83 | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 15.48 | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $1,718,216 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $1,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $9,338 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $7,123,194 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD L89314 - Pressure ulcer of right buttock, stage 4 | $38,713 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 35.33 | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD L89314 - Pressure ulcer of right buttock, stage 4 | 18.48 |
| 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 | 95 |
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 84 |
| PAM SPECIALTY HOSPITAL OF COVINGTON | 20050 CRESTWOOD BLVD | COVINGTON | LA | 70433 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 74 |
| Dr. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 41 |
| Dr. LAURIE ANN DUCKETT | 2121 S COLUMBIA AVE | TULSA | OK | 74114 | 36 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 36 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 34 |
| Dr. PHILIP ATIGRE | 5112 N HABANA AVE | TAMPA | FL | 33614 | 26 |