*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89322 - Pressure ulcer of left buttock, stage 2 - as a primary diagnosis code | L89322 - Pressure ulcer of left buttock, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.77 | |
| Readmission Rate (%) | 30.57 | |
| Unplanned Readmission Rate (%) | 15.72 | |
| 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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 232 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89322 - Pressure ulcer of left buttock, stage 2 in DRG | 55.37 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 5.14 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 22.48 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 14.22 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $1,631,643 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $1,368 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $7,033 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $5,822,599 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $25,097 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 39.66 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 15.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 32,775 |
| Total Hospitalizations with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 11 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD L89322 - Pressure ulcer of left buttock, stage 2 in DRG | 2.63 |
| Avg LOS at DRG | 4.93 |
| Avg LOS with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 10.0 |
| Readmission Rate at DRG | 16.64 |
| Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | NA |
| Unplanned Readmission Rate at DRG | 9.37 |
| Unplanned Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | NA |
| Total Medicare payments at DRG | $321,966,863 |
| Total Medicare payments with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $185,500 |
| Total Medicare payment per Day at DRG | $1,993 |
| Total Medicare payment per Day with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $1,686 |
| Total Medicare payment per Hospitalization at DRG | $9,824 |
| Total Medicare payment per Hospitalization with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $16,864 |
| Total Medicare Charges at DRG | $1,646,314,545 |
| Total Medicare Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $744,805 |
| Avg Charges at DRG | $50,231 |
| Avg Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $67,710 |
| Mortality Rate at DRG | 0.09 |
| Mortality Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | NA |
| SNF Discharge Rate at DRG | 17.01 |
| SNF Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | NA |
| Home Discharge Rate at DRG | 43.69 |
| Home Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 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 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 L89322 - Pressure ulcer of left buttock, stage 2 | 8,072 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89322 - Pressure ulcer of left buttock, stage 2 in DRG | 13.47 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 8.4 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 31.1 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 22.12 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $103,577,704 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $1,528 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $12,832 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $562,132,535 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $69,640 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 12.87 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 42.21 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 7.77 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 L89322 - Pressure ulcer of left buttock, stage 2 | 1,395 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L89322 - Pressure ulcer of left buttock, stage 2 in DRG | 2.33 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 14.01 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 37.48 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 24.44 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $23,667,022 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $1,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $16,966 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $119,230,369 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $85,470 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 11.11 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 40.29 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 9.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 1,062 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89322 - Pressure ulcer of left buttock, stage 2 in DRG | 1.77 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 5.27 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 27.19 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 19.72 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $6,640,250 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $1,187 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $6,253 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $34,514,095 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $32,499 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 1.41 | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 46.99 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 12.71 |
*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 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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 695 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L89322 - Pressure ulcer of left buttock, stage 2 in DRG | 1.16 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 15.94 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 47.99 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 24.33 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $29,274,611 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $2,643 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $42,122 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $137,307,516 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD L89322 - Pressure ulcer of left buttock, stage 2 | $197,565 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 31.8 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 31.37 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD L89322 - Pressure ulcer of left buttock, stage 2 | 2.45 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| FREDERICK MEMORIAL HOSPITAL | 400 W 7TH ST | FREDERICK | MD | 21701 | 329 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 228 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 212 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MANJULA KUNDHUR REDDY | 3553 RATHBONE WAY | PLEASANTON | CA | 94588 | 28 |
| Dr. JEFFREY B GIBBERMAN | 4545 POST OAK PLACE DR | HOUSTON | TX | 77027 | 27 |
| Dr. NATHAN A WATSON | 600 N HIGHLAND AVE | SHERMAN | TX | 75092 | 23 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ZIAD SOUS | 1145 S UTICA AVE | TULSA | OK | 74104 | 50 |
| Dr. SAROJA VISWAMITRA | 1200 E SAVANNAH AVE | MCALLEN | TX | 78503 | 43 |
| Dr. JEFFREY B GIBBERMAN | 4545 POST OAK PLACE DR | HOUSTON | TX | 77027 | 41 |