*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89324 - Pressure ulcer of left buttock, stage 4 - as a primary diagnosis code | L89324 - Pressure ulcer of left buttock, stage 4 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 14.97 | |
| Readmission Rate (%) | 35.88 | |
| Unplanned Readmission Rate (%) | 14.22 | |
| 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 L89324 - Pressure ulcer of left buttock, stage 4 | 787 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89324 - Pressure ulcer of left buttock, stage 4 in DRG | 28.49 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 13.92 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 29.17 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 17.67 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $11,898,761 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,086 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $15,119 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $54,003,462 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $68,619 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 1.78 | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 33.42 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 12.45 |
*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 L89324 - Pressure ulcer of left buttock, stage 4 | 29 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD L89324 - Pressure ulcer of left buttock, stage 4 in DRG | 1.05 |
| Avg LOS at DRG | 11.44 |
| Avg LOS with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 15.41 |
| Readmission Rate at DRG | 33.65 |
| Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA |
| Unplanned Readmission Rate at DRG | 21.15 |
| Unplanned Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA |
| Total Medicare payments at DRG | $802,022,870 |
| Total Medicare payments with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $691,899 |
| Total Medicare payment per Day at DRG | $2,088 |
| Total Medicare payment per Day with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,548 |
| Total Medicare payment per Hospitalization at DRG | $23,882 |
| Total Medicare payment per Hospitalization with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $23,859 |
| Total Medicare Charges at DRG | $3,957,485,422 |
| Total Medicare Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $2,520,506 |
| Avg Charges at DRG | $117,842 |
| Avg Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $86,914 |
| Mortality Rate at DRG | 8.73 |
| Mortality Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA |
| SNF Discharge Rate at DRG | 24.87 |
| SNF Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA |
| Home Discharge Rate at DRG | 28.69 |
| Home Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RUSH HEALTH SYSTEMS | 1314 19TH AVE | MERIDIAN | MS | 39301 | 20 |
| LIFECARE HOSPITALS OF NORTH TEXAS-DALLAS | 1950 RECORD CROSSING RD | DALLAS | TX | 75235 | 19 |
| SHEPHERD CENTER | 2020 PEACHTREE RD NW | ATLANTA | GA | 30309 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 13 |
| Dr. MEDHANIE CHICHI BERHANE | 3193 HOWELL MILL RD NW | ATLANTA | GA | 30327 | 12 |
| Dr. DHAVAL BHAVSAR | 3901 RAINBOW BLVD | KANSAS CITY | KS | 66103 | 12 |
| 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 | 13 |
| Dr. DHAVAL BHAVSAR | 3901 RAINBOW BLVD | KANSAS CITY | KS | 66103 | 12 |
| Dr. SALAH RUBAYI | 7601 IMPERIAL HWY | DOWNEY | CA | 90242 | 11 |
*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 L89324 - Pressure ulcer of left buttock, stage 4 | 2,857 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89324 - Pressure ulcer of left buttock, stage 4 in DRG | 15.46 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 8.78 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 34.91 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 21.91 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $36,526,671 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,456 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $12,785 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $196,843,345 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $68,899 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 8.16 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 32.52 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 11.59 |
*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 L89324 - Pressure ulcer of left buttock, stage 4 | 980 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89324 - Pressure ulcer of left buttock, stage 4 in DRG | 5.3 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 18.46 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 33.37 | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 17.98 | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $22,501,857 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,244 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $22,961 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $111,455,044 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $113,730 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 2.35 | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 44.08 | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 7.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 500: SOFT TISSUE PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 322 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89324 - Pressure ulcer of left buttock, stage 4 in DRG | 1.74 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 6.12 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 29.87 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 22.48 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $2,486,469 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,262 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $7,722 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $12,233,927 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $37,994 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 27.95 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 19.88 |
*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 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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 183 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89324 - Pressure ulcer of left buttock, stage 4 in DRG | 0.99 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 7.08 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 37.72 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 28.74 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,852,444 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $1,429 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $10,123 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $8,794,458 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89324 - Pressure ulcer of left buttock, stage 4 | $48,057 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 43.17 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89324 - Pressure ulcer of left buttock, stage 4 | 14.21 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| OHIO STATE UNIVERSITY HOSPITAL | 410 W 10TH AVE | COLUMBUS | OH | 43210 | 84 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 67 |
| NORTHWESTERN MEMORIAL HOSPITAL | 251 E HURON ST | CHICAGO | IL | 60611 | 64 |
| 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 | 45 |
| Dr. DAVID M GODAT | 11970 N CENTRAL EXPY | DALLAS | TX | 75243 | 31 |
| 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. PHILIP ATIGRE | 5112 N HABANA AVE | TAMPA | FL | 33614 | 24 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 24 |