*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89619 - Pressure ulcer of right heel, unspecified stage - as a primary diagnosis code | L89619 - Pressure ulcer of right heel, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.39 | |
| Readmission Rate (%) | 32.59 | |
| Unplanned Readmission Rate (%) | 15.79 | |
| 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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 103 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89619 - Pressure ulcer of right heel, unspecified stage in DRG | 33.55 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 5.48 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 32.99 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 16.49 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $649,140 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,151 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $6,302 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $2,997,240 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $29,099 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 34.95 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 23.3 |
*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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 573: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 19,564 | ||
| Total Hospitalizations with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 14 | ||
| DRG Share of Total Hospitalizations | 0.06 | ||
| % of Total ICD L89619 - Pressure ulcer of right heel, unspecified stage in DRG | 4.56 | ||
| Avg LOS at DRG | 11.79 | ||
| Avg LOS with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 9.57 | ||
| Readmission Rate at DRG | 31.21 | ||
| Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||
| Unplanned Readmission Rate at DRG | 16.98 | ||
| Unplanned Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||
| Total Medicare payments at DRG | $382,049,643 | ||
| Total Medicare payments with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $187,323 | ||
| Total Medicare payment per Day at DRG | $1,656 | ||
| Total Medicare payment per Day with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,398 | ||
| Total Medicare payment per Hospitalization at DRG | $19,528 | ||
| Total Medicare payment per Hospitalization with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $13,380 | ||
| Total Medicare Charges at DRG | $1,800,893,222 | ||
| Total Medicare Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $811,362 | ||
| Avg Charges at DRG | $92,051 | ||
| Avg Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $57,954 | ||
| Mortality Rate at DRG | 2.9 | ||
| Mortality Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||
| SNF Discharge Rate at DRG | 33.4 | ||
| SNF Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||
| Home Discharge Rate at DRG | 19.47 | ||
| Home Discharge Rate with ICD L89619 - Pressure ulcer of right heel, 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 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 3,900 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89619 - Pressure ulcer of right heel, unspecified stage in DRG | 15.51 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 7.69 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 30.41 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 21.33 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $47,821,111 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,595 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $12,262 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $253,451,299 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $64,988 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 15.54 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 38.08 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 6.51 |
*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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 527 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89619 - Pressure ulcer of right heel, unspecified stage in DRG | 2.1 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 6.3 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 25.35 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 19.96 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $3,826,083 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,153 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $7,260 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $20,475,340 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $38,853 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 41.18 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 13.85 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 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 | 474,314 | ||||
| Total Hospitalizations with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 378 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L89619 - Pressure ulcer of right heel, unspecified stage in DRG | 1.5 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 4.72 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 23.1 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 16.58 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $2,076,127 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,164 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $5,492 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $9,961,436 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $26,353 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 43.39 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 17.2 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 297 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89619 - Pressure ulcer of right heel, unspecified stage in DRG | 1.18 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 5.18 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 27.9 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 21.01 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,870,635 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $1,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $6,298 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $9,160,052 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89619 - Pressure ulcer of right heel, unspecified stage | $30,842 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 44.78 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89619 - Pressure ulcer of right heel, unspecified stage | 16.16 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| POST ACUTE MEDICAL SPECIALTY HOSPITAL OF CORPUS CHRISTI | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 114 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 86 |
| WADLEY REGIONAL MEDICAL CENTER | 1000 PINE ST | TEXARKANA | TX | 75501 | 79 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 24 |
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 19 |
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 18 |
| 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 | 39 |
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 39 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 38 |