*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89319 - Pressure ulcer of right buttock, unspecified stage - as a primary diagnosis code | L89319 - Pressure ulcer of right buttock, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.07 | |
| Readmission Rate (%) | 31.19 | |
| Unplanned Readmission Rate (%) | 9.6 | |
| 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 57 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89319 - Pressure ulcer of right buttock, unspecified stage in DRG | 27.14 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 6.3 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $446,581 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,244 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $7,835 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,717,984 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $30,140 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 35.09 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 21.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 1,898 | |
| Total Hospitalizations with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 14 | |
| DRG Share of Total Hospitalizations | 0.01 | |
| % of Total ICD L89319 - Pressure ulcer of right buttock, unspecified stage in DRG | 6.67 | |
| Avg LOS at DRG | 4.16 | |
| Avg LOS with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 3.29 | |
| Readmission Rate at DRG | 19.27 | |
| Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | |
| Unplanned Readmission Rate at DRG | 11.3 | |
| Unplanned Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | |
| Total Medicare payments at DRG | $10,154,855 | |
| Total Medicare payments with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $58,251 | |
| Total Medicare payment per Day at DRG | $1,286 | |
| Total Medicare payment per Day with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,266 | |
| Total Medicare payment per Hospitalization at DRG | $5,350 | |
| Total Medicare payment per Hospitalization with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $4,161 | |
| Total Medicare Charges at DRG | $39,908,097 | |
| Total Medicare Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $167,689 | |
| Avg Charges at DRG | $21,026 | |
| Avg Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $11,978 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | |
| SNF Discharge Rate at DRG | 25.97 | |
| SNF Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | |
| Home Discharge Rate at DRG | 31.14 | |
| Home Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 2,084 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89319 - Pressure ulcer of right buttock, unspecified stage in DRG | 14.05 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 7.67 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 30.62 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 20.19 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $25,729,128 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,609 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $12,346 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $137,905,011 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $66,173 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 14.83 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 36.66 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 8.54 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | 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 | 365,119 | ||||
| Total Hospitalizations with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 317 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89319 - Pressure ulcer of right buttock, unspecified stage in DRG | 2.14 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 8.13 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 27.88 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 18.59 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $3,292,138 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,278 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $10,385 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $16,292,136 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $51,395 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 9.46 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 42.27 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 7.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 239 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89319 - Pressure ulcer of right buttock, unspecified stage in DRG | 1.61 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 4.78 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 28.0 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 19.56 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,392,695 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,220 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $5,827 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $7,286,674 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $30,488 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 34.31 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 20.08 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 149 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89319 - Pressure ulcer of right buttock, unspecified stage in DRG | 1.0 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 18.48 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 35.34 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 18.8 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $5,295,296 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $1,923 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $35,539 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $20,236,220 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | $135,814 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 40.94 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89319 - Pressure ulcer of right buttock, unspecified stage | 9.4 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| POST ACUTE MEDICAL SPECIALTY HOSPITAL OF CORPUS CHRISTI | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 82 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 61 |
| FLAGLER HOSPITAL | 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 58 |
| 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 | 18 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 11 |
| 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 | 37 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 27 |
| Dr. ENRIQUE CISNEROS RAMOS | 100 MCGREGOR ST | MANCHESTER | NH | 03102 | 20 |