*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89323 - Pressure ulcer of left buttock, stage 3 - as a primary diagnosis code | L89323 - Pressure ulcer of left buttock, stage 3 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.47 | |
| Readmission Rate (%) | 34.16 | |
| Unplanned Readmission Rate (%) | 14.31 | |
| 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 L89323 - Pressure ulcer of left buttock, stage 3 | 555 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89323 - Pressure ulcer of left buttock, stage 3 in DRG | 51.15 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 11.75 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 26.18 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 15.16 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $7,734,679 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $1,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $13,936 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $32,475,017 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $58,514 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 43.6 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 9.73 |
*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 L89323 - Pressure ulcer of left buttock, stage 3 | 3,996 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89323 - Pressure ulcer of left buttock, stage 3 in DRG | 16.08 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 8.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 33.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 23.4 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $52,044,042 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $1,477 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $13,024 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $296,739,344 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $74,259 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 12.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 39.39 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 7.93 |
*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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS 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 L89323 - Pressure ulcer of left buttock, stage 3 | 784 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89323 - Pressure ulcer of left buttock, stage 3 in DRG | 3.16 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 8.32 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 31.56 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 21.95 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $8,872,815 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $1,361 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $11,317 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $42,592,292 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $54,327 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 5.48 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 45.66 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 9.69 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,136 | ||||
| Total Hospitalizations with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 480 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L89323 - Pressure ulcer of left buttock, stage 3 in DRG | 1.93 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 33.85 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 44.14 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 30.25 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $28,432,866 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $1,750 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $59,235 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $143,654,937 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $299,281 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 22.92 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 43.75 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 3.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 | 443,386 | ||||
| Total Hospitalizations with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 397 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89323 - Pressure ulcer of left buttock, stage 3 in DRG | 1.6 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 6.69 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 29.78 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 23.31 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $3,726,072 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $1,404 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $9,386 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $18,122,362 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89323 - Pressure ulcer of left buttock, stage 3 | $45,648 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 6.05 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 39.04 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89323 - Pressure ulcer of left buttock, stage 3 | 10.08 |
| 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 | 245 |
| WHITE PLAINS HOSPITAL CENTER | 41 E POST ROAD | WHITE PLAINS | NY | 10601 | 128 |
| LEHIGH VALLEY HOSPITAL - CEDAR CREST | 1200 S CEDAR CREST BLVD | ALLENTOWN | PA | 18103 | 124 |
| 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 | 16 |
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 16 |
| Dr. NECHEMIA B PELEG | 4955 VAN NUYS BLVD | SHERMAN OAKS | CA | 91403 | 15 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. KALYAN AKKINENI | 1001 TOWSON AVE | FORT SMITH | AR | 72901 | 26 |
| Dr. GARY W SPANGLER | 646 FM 517 RD W | DICKINSON | TX | 77539 | 24 |
| Dr. KAUSHIK P PATEL | 2409 BROWNSVILLE RD | PITTSBURGH | PA | 15210 | 22 |