*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89612 - Pressure ulcer of right heel, stage 2 - as a primary diagnosis code | L89612 - Pressure ulcer of right heel, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.92 | |
| Readmission Rate (%) | 31.09 | |
| Unplanned Readmission Rate (%) | 11.93 | |
| 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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89612 - Pressure ulcer of right heel, stage 2 | 106 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89612 - Pressure ulcer of right heel, stage 2 in DRG | 45.49 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89612 - Pressure ulcer of right heel, stage 2 | 5.47 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 22.55 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 12.75 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89612 - Pressure ulcer of right heel, stage 2 | $748,395 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89612 - Pressure ulcer of right heel, stage 2 | $1,290 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89612 - Pressure ulcer of right heel, stage 2 | $7,060 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $3,306,385 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $31,192 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 45.28 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 19.81 |
*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 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89612 - Pressure ulcer of right heel, stage 2 | 2,974 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89612 - Pressure ulcer of right heel, stage 2 in DRG | 15.19 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89612 - Pressure ulcer of right heel, stage 2 | 8.26 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 30.79 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 21.88 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89612 - Pressure ulcer of right heel, stage 2 | $37,051,861 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89612 - Pressure ulcer of right heel, stage 2 | $1,509 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89612 - Pressure ulcer of right heel, stage 2 | $12,459 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $199,915,948 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $67,221 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 12.04 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 41.36 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 7.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD L89612 - Pressure ulcer of right heel, stage 2 | 461 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89612 - Pressure ulcer of right heel, stage 2 in DRG | 2.36 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89612 - Pressure ulcer of right heel, stage 2 | 9.19 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 29.88 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 22.41 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89612 - Pressure ulcer of right heel, stage 2 | $5,167,935 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89612 - Pressure ulcer of right heel, stage 2 | $1,219 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89612 - Pressure ulcer of right heel, stage 2 | $11,210 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $26,709,186 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $57,937 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 5.42 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 44.9 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 8.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L89612 - Pressure ulcer of right heel, stage 2 | 282 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89612 - Pressure ulcer of right heel, stage 2 in DRG | 1.44 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L89612 - Pressure ulcer of right heel, stage 2 | 5.78 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 28.73 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 21.09 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L89612 - Pressure ulcer of right heel, stage 2 | $1,696,988 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L89612 - Pressure ulcer of right heel, stage 2 | $1,041 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L89612 - Pressure ulcer of right heel, stage 2 | $6,018 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $8,870,999 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $31,457 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 38.3 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 21.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 637: DIABETES 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 | 188,863 | ||||
| Total Hospitalizations with ICD L89612 - Pressure ulcer of right heel, stage 2 | 237 | ||||
| DRG Share of Total Hospitalizations | 0.57 | ||||
| % of Total ICD L89612 - Pressure ulcer of right heel, stage 2 in DRG | 1.21 | ||||
| Avg LOS at DRG | 11.75 | ||||
| Avg LOS with ICD L89612 - Pressure ulcer of right heel, stage 2 | 15.27 | ||||
| Readmission Rate at DRG | 12.14 | ||||
| Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 13.64 | ||||
| Unplanned Readmission Rate at DRG | 7.97 | ||||
| Unplanned Readmission Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 9.09 | ||||
| Total Medicare payments at DRG | $3,216,901,374 | ||||
| Total Medicare payments with ICD L89612 - Pressure ulcer of right heel, stage 2 | $4,810,084 | ||||
| Total Medicare payment per Day at DRG | $1,450 | ||||
| Total Medicare payment per Day with ICD L89612 - Pressure ulcer of right heel, stage 2 | $1,329 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,033 | ||||
| Total Medicare payment per Hospitalization with ICD L89612 - Pressure ulcer of right heel, stage 2 | $20,296 | ||||
| Total Medicare Charges at DRG | $7,709,712,645 | ||||
| Total Medicare Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $12,968,991 | ||||
| Avg Charges at DRG | $40,822 | ||||
| Avg Charges with ICD L89612 - Pressure ulcer of right heel, stage 2 | $54,721 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 19.54 | ||||
| SNF Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 35.02 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD L89612 - Pressure ulcer of right heel, stage 2 | 8.86 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 79 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 61 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 54 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM ST. JOHN LACORTE | 519 METAIRIE RD | METAIRIE | LA | 70005 | 21 |
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 19 |
| Dr. PEYMAN YOUNESI | 9131 175TH ST | JAMAICA | NY | 11432 | 15 |