*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89613 - Pressure ulcer of right heel, stage 3 - as a primary diagnosis code | L89613 - Pressure ulcer of right heel, stage 3 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.56 | |
| Readmission Rate (%) | 33.81 | |
| Unplanned Readmission Rate (%) | 14.72 | |
| 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 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) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | |||
| Total Hospitalizations with ICD L89613 - Pressure ulcer of right heel, stage 3 | 276 | |||
| DRG Share of Total Hospitalizations | 0.07 | |||
| % of Total ICD L89613 - Pressure ulcer of right heel, stage 3 in DRG | 45.85 | |||
| Avg LOS at DRG | 12.57 | |||
| Avg LOS with ICD L89613 - Pressure ulcer of right heel, stage 3 | 10.22 | |||
| Readmission Rate at DRG | 30.43 | |||
| Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 27.52 | |||
| Unplanned Readmission Rate at DRG | 19.44 | |||
| Unplanned Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 17.05 | |||
| Total Medicare payments at DRG | $340,052,154 | |||
| Total Medicare payments with ICD L89613 - Pressure ulcer of right heel, stage 3 | $3,252,656 | |||
| Total Medicare payment per Day at DRG | $1,114 | |||
| Total Medicare payment per Day with ICD L89613 - Pressure ulcer of right heel, stage 3 | $1,153 | |||
| Total Medicare payment per Hospitalization at DRG | $14,002 | |||
| Total Medicare payment per Hospitalization with ICD L89613 - Pressure ulcer of right heel, stage 3 | $11,785 | |||
| Total Medicare Charges at DRG | $1,599,050,306 | |||
| Total Medicare Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $13,800,044 | |||
| Avg Charges at DRG | $65,842 | |||
| Avg Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $50,000 | |||
| Mortality Rate at DRG | 4.97 | |||
| Mortality Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | NA | |||
| SNF Discharge Rate at DRG | 39.28 | |||
| SNF Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 43.84 | |||
| Home Discharge Rate at DRG | 11.17 | |||
| Home Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 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 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89613 - Pressure ulcer of right heel, stage 3 | 2,813 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89613 - Pressure ulcer of right heel, stage 3 in DRG | 16.25 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89613 - Pressure ulcer of right heel, stage 3 | 8.84 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 34.21 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 23.5 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89613 - Pressure ulcer of right heel, stage 3 | $35,495,508 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89613 - Pressure ulcer of right heel, stage 3 | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89613 - Pressure ulcer of right heel, stage 3 | $12,618 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $204,297,060 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $72,626 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 11.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 40.67 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89613 - Pressure ulcer of right heel, 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 570: SKIN DEBRIDEMENT WITH 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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||||
| Total Hospitalizations with ICD L89613 - Pressure ulcer of right heel, stage 3 | 562 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89613 - Pressure ulcer of right heel, stage 3 in DRG | 3.25 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD L89613 - Pressure ulcer of right heel, stage 3 | 16.09 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 30.02 | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 14.53 | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD L89613 - Pressure ulcer of right heel, stage 3 | $12,033,004 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD L89613 - Pressure ulcer of right heel, stage 3 | $1,331 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD L89613 - Pressure ulcer of right heel, stage 3 | $21,411 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $54,095,162 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $96,255 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 3.02 | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 45.73 | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 6.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES 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) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89613 - Pressure ulcer of right heel, stage 3 | 325 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89613 - Pressure ulcer of right heel, stage 3 in DRG | 1.88 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89613 - Pressure ulcer of right heel, stage 3 | 21.0 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 38.35 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 26.16 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89613 - Pressure ulcer of right heel, stage 3 | $12,290,862 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89613 - Pressure ulcer of right heel, stage 3 | $1,801 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89613 - Pressure ulcer of right heel, stage 3 | $37,818 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $49,950,137 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $153,693 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 7.38 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 46.46 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 4.92 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,564 | ||||
| Total Hospitalizations with ICD L89613 - Pressure ulcer of right heel, stage 3 | 269 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89613 - Pressure ulcer of right heel, stage 3 in DRG | 1.55 | ||||
| Avg LOS at DRG | 11.79 | ||||
| Avg LOS with ICD L89613 - Pressure ulcer of right heel, stage 3 | 15.67 | ||||
| Readmission Rate at DRG | 31.21 | ||||
| Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 28.46 | ||||
| Unplanned Readmission Rate at DRG | 16.98 | ||||
| Unplanned Readmission Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 16.67 | ||||
| Total Medicare payments at DRG | $382,049,643 | ||||
| Total Medicare payments with ICD L89613 - Pressure ulcer of right heel, stage 3 | $5,744,024 | ||||
| Total Medicare payment per Day at DRG | $1,656 | ||||
| Total Medicare payment per Day with ICD L89613 - Pressure ulcer of right heel, stage 3 | $1,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,528 | ||||
| Total Medicare payment per Hospitalization with ICD L89613 - Pressure ulcer of right heel, stage 3 | $21,353 | ||||
| Total Medicare Charges at DRG | $1,800,893,222 | ||||
| Total Medicare Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $25,964,748 | ||||
| Avg Charges at DRG | $92,051 | ||||
| Avg Charges with ICD L89613 - Pressure ulcer of right heel, stage 3 | $96,523 | ||||
| Mortality Rate at DRG | 2.9 | ||||
| Mortality Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 33.4 | ||||
| SNF Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 46.47 | ||||
| Home Discharge Rate at DRG | 19.47 | ||||
| Home Discharge Rate with ICD L89613 - Pressure ulcer of right heel, stage 3 | 8.18 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| WHITE PLAINS HOSPITAL CENTER | 41 E POST ROAD | WHITE PLAINS | NY | 10601 | 81 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 67 |
| ST. DOMINIC-JACKSON MEMORIAL HOSPITAL | 969 LAKELAND DR | JACKSON | MS | 39216 | 52 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. IKECHUKWU A NWABUDE | 2705 HOSPITAL BLVD | GRAND PRAIRIE | TX | 75051 | 14 |
| Dr. CARLOS LUIS TRABANCO | 3735 SW 8TH ST STE 204 | CORAL GABLES | FL | 33134 | 12 |
| Dr. AMY HOLLIS NORCROSS | 213 RADBROOK DR | BOSSIER CITY | LA | 71112 | 12 |
| 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 | 17 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 17 |
| Dr. HAMIDREZA MOGHADDAM | 16919 N BAY RD | SUNNY ISLES BEACH | FL | 33160 | 15 |