*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89320 - Pressure ulcer of left buttock, unstageable - as a primary diagnosis code | L89320 - Pressure ulcer of left buttock, unstageable - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.19 | |
| Readmission Rate (%) | 32.89 | |
| Unplanned Readmission Rate (%) | 14.71 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89320 - Pressure ulcer of left buttock, unstageable | 83 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89320 - Pressure ulcer of left buttock, unstageable in DRG | 27.21 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89320 - Pressure ulcer of left buttock, unstageable | 9.52 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 15.79 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89320 - Pressure ulcer of left buttock, unstageable | $707,974 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89320 - Pressure ulcer of left buttock, unstageable | $896 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89320 - Pressure ulcer of left buttock, unstageable | $8,530 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $3,126,709 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $37,671 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 38.55 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 16.87 |
*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 L89320 - Pressure ulcer of left buttock, unstageable | 16 |
| DRG Share of Total Hospitalizations | 0.06 |
| % of Total ICD L89320 - Pressure ulcer of left buttock, unstageable in DRG | 5.25 |
| Avg LOS at DRG | 11.79 |
| Avg LOS with ICD L89320 - Pressure ulcer of left buttock, unstageable | 20.13 |
| Readmission Rate at DRG | 31.21 |
| Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA |
| Unplanned Readmission Rate at DRG | 16.98 |
| Unplanned Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA |
| Total Medicare payments at DRG | $382,049,643 |
| Total Medicare payments with ICD L89320 - Pressure ulcer of left buttock, unstageable | $430,084 |
| Total Medicare payment per Day at DRG | $1,656 |
| Total Medicare payment per Day with ICD L89320 - Pressure ulcer of left buttock, unstageable | $1,336 |
| Total Medicare payment per Hospitalization at DRG | $19,528 |
| Total Medicare payment per Hospitalization with ICD L89320 - Pressure ulcer of left buttock, unstageable | $26,880 |
| Total Medicare Charges at DRG | $1,800,893,222 |
| Total Medicare Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $1,698,877 |
| Avg Charges at DRG | $92,051 |
| Avg Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $106,180 |
| Mortality Rate at DRG | 2.9 |
| Mortality Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA |
| SNF Discharge Rate at DRG | 33.4 |
| SNF Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA |
| Home Discharge Rate at DRG | 19.47 |
| Home Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89320 - Pressure ulcer of left buttock, unstageable | 2,279 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89320 - Pressure ulcer of left buttock, unstageable in DRG | 14.84 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89320 - Pressure ulcer of left buttock, unstageable | 8.84 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 32.11 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 21.03 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89320 - Pressure ulcer of left buttock, unstageable | $30,768,511 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89320 - Pressure ulcer of left buttock, unstageable | $1,527 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89320 - Pressure ulcer of left buttock, unstageable | $13,501 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $168,624,331 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $73,990 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 16.76 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 38.92 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 5.22 |
*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 291: HEART FAILURE AND SHOCK 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L89320 - Pressure ulcer of left buttock, unstageable | 324 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89320 - Pressure ulcer of left buttock, unstageable in DRG | 2.11 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89320 - Pressure ulcer of left buttock, unstageable | 16.12 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 34.22 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 19.39 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89320 - Pressure ulcer of left buttock, unstageable | $5,416,186 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89320 - Pressure ulcer of left buttock, unstageable | $1,037 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89320 - Pressure ulcer of left buttock, unstageable | $16,717 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $28,372,724 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $87,570 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 8.02 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 43.52 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 4.32 |
*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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,410 | ||||
| Total Hospitalizations with ICD L89320 - Pressure ulcer of left buttock, unstageable | 245 | ||||
| DRG Share of Total Hospitalizations | 0.7 | ||||
| % of Total ICD L89320 - Pressure ulcer of left buttock, unstageable in DRG | 1.6 | ||||
| Avg LOS at DRG | 7.29 | ||||
| Avg LOS with ICD L89320 - Pressure ulcer of left buttock, unstageable | 11.03 | ||||
| Readmission Rate at DRG | 25.54 | ||||
| Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 31.58 | ||||
| Unplanned Readmission Rate at DRG | 18.36 | ||||
| Unplanned Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 22.01 | ||||
| Total Medicare payments at DRG | $2,801,759,007 | ||||
| Total Medicare payments with ICD L89320 - Pressure ulcer of left buttock, unstageable | $3,689,159 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD L89320 - Pressure ulcer of left buttock, unstageable | $1,365 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,107 | ||||
| Total Medicare payment per Hospitalization with ICD L89320 - Pressure ulcer of left buttock, unstageable | $15,058 | ||||
| Total Medicare Charges at DRG | $13,366,030,360 | ||||
| Total Medicare Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $19,555,400 | ||||
| Avg Charges at DRG | $57,759 | ||||
| Avg Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $79,818 | ||||
| Mortality Rate at DRG | 7.21 | ||||
| Mortality Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 11.43 | ||||
| SNF Discharge Rate at DRG | 32.47 | ||||
| SNF Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 43.67 | ||||
| Home Discharge Rate at DRG | 20.84 | ||||
| Home Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 7.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD L89320 - Pressure ulcer of left buttock, unstageable | 218 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD L89320 - Pressure ulcer of left buttock, unstageable in DRG | 1.42 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD L89320 - Pressure ulcer of left buttock, unstageable | 17.31 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 28.16 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 17.82 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD L89320 - Pressure ulcer of left buttock, unstageable | $5,853,267 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD L89320 - Pressure ulcer of left buttock, unstageable | $1,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD L89320 - Pressure ulcer of left buttock, unstageable | $26,850 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $17,277,379 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD L89320 - Pressure ulcer of left buttock, unstageable | $79,254 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 32.57 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD L89320 - Pressure ulcer of left buttock, unstageable | 6.88 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NUVANCE HEALTH - DANBURY HOSPITAL | 24 HOSPITAL AVE | DANBURY | CT | 06810 | 309 |
| POST ACUTE MEDICAL SPECIALTY HOSPITAL OF CORPUS CHRISTI | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 304 |
| NOLAND HOSPITAL TUSCALOOSA | 809 UNIVERSITY BOULEVARD, EAST - 4TH FLOOR | TUSCALOOSA | AL | 35401 | 130 |
| 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 | 56 |
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 31 |
| Dr. SAI AVULA | 1118 ROSS CLARK CIR | DOTHAN | AL | 36301 | 28 |
| 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 | 130 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 79 |
| Dr. ENRIQUE CISNEROS RAMOS | 100 MCGREGOR ST | MANCHESTER | NH | 03102 | 56 |