*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89329 - Pressure ulcer of left buttock, unspecified stage - as a primary diagnosis code | L89329 - Pressure ulcer of left buttock, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.02 | |
| Readmission Rate (%) | 30.83 | |
| Unplanned Readmission Rate (%) | 9.02 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 L89329 - Pressure ulcer of left buttock, unspecified stage | 84 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89329 - Pressure ulcer of left buttock, unspecified stage in DRG | 29.47 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 6.0 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 21.92 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $595,835 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,182 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $7,093 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $2,422,184 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $28,836 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 32.14 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 14.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 2,728 | ||
| Total Hospitalizations with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 13 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD L89329 - Pressure ulcer of left buttock, unspecified stage in DRG | 4.56 | ||
| Avg LOS at DRG | 9.72 | ||
| Avg LOS with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 10.85 | ||
| Readmission Rate at DRG | 21.49 | ||
| Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||
| Unplanned Readmission Rate at DRG | 10.8 | ||
| Unplanned Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||
| Total Medicare payments at DRG | $51,021,643 | ||
| Total Medicare payments with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $231,023 | ||
| Total Medicare payment per Day at DRG | $1,925 | ||
| Total Medicare payment per Day with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,638 | ||
| Total Medicare payment per Hospitalization at DRG | $18,703 | ||
| Total Medicare payment per Hospitalization with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $17,771 | ||
| Total Medicare Charges at DRG | $239,696,071 | ||
| Total Medicare Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $733,635 | ||
| Avg Charges at DRG | $87,865 | ||
| Avg Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $56,433 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||
| SNF Discharge Rate at DRG | 31.2 | ||
| SNF Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||
| Home Discharge Rate at DRG | 27.79 | ||
| Home Discharge Rate with ICD L89329 - Pressure ulcer of left 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 L89329 - Pressure ulcer of left buttock, unspecified stage | 2,135 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89329 - Pressure ulcer of left buttock, unspecified stage in DRG | 14.9 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 7.5 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 29.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 20.43 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $26,574,107 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,659 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $12,447 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $137,400,241 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $64,356 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 14.24 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 36.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH 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 | 539,642 | ||||
| Total Hospitalizations with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 291 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L89329 - Pressure ulcer of left buttock, unspecified stage in DRG | 2.03 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 10.73 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 32.54 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 23.81 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $4,283,608 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $14,720 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $21,965,805 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $75,484 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 8.59 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 38.83 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 10.65 |
*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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY 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 | 434,264 | ||||
| Total Hospitalizations with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 210 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89329 - Pressure ulcer of left buttock, unspecified stage in DRG | 1.47 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 4.95 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 27.78 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 18.69 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,293,764 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,244 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $6,161 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $6,318,856 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $30,090 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 49.52 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 12.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 153 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD L89329 - Pressure ulcer of left buttock, unspecified stage in DRG | 1.07 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 6.72 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 34.04 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 30.5 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,302,430 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $1,267 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $8,513 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $7,147,119 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | $46,713 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 41.83 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD L89329 - Pressure ulcer of left buttock, unspecified stage | 13.73 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 100 |
| POST ACUTE MEDICAL SPECIALTY HOSPITAL OF CORPUS CHRISTI | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 85 |
| FLAGLER HOSPITAL | 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 70 |
| 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 |