*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89620 - Pressure ulcer of left heel, unstageable - as a primary diagnosis code | L89620 - Pressure ulcer of left heel, unstageable - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 12.44 | |
| Readmission Rate (%) | 33.92 | |
| Unplanned Readmission Rate (%) | 17.37 | |
| 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 L89620 - Pressure ulcer of left heel, unstageable | 221 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89620 - Pressure ulcer of left heel, unstageable in DRG | 33.84 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89620 - Pressure ulcer of left heel, unstageable | 6.88 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 25.85 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 18.05 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,738,172 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,144 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89620 - Pressure ulcer of left heel, unstageable | $7,865 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $8,943,563 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $40,469 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 38.91 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 11.76 |
*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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 19,564 | |||
| Total Hospitalizations with ICD L89620 - Pressure ulcer of left heel, unstageable | 31 | |||
| DRG Share of Total Hospitalizations | 0.06 | |||
| % of Total ICD L89620 - Pressure ulcer of left heel, unstageable in DRG | 4.75 | |||
| Avg LOS at DRG | 11.79 | |||
| Avg LOS with ICD L89620 - Pressure ulcer of left heel, unstageable | 18.48 | |||
| Readmission Rate at DRG | 31.21 | |||
| Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | NA | |||
| Unplanned Readmission Rate at DRG | 16.98 | |||
| Unplanned Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | NA | |||
| Total Medicare payments at DRG | $382,049,643 | |||
| Total Medicare payments with ICD L89620 - Pressure ulcer of left heel, unstageable | $850,832 | |||
| Total Medicare payment per Day at DRG | $1,656 | |||
| Total Medicare payment per Day with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,485 | |||
| Total Medicare payment per Hospitalization at DRG | $19,528 | |||
| Total Medicare payment per Hospitalization with ICD L89620 - Pressure ulcer of left heel, unstageable | $27,446 | |||
| Total Medicare Charges at DRG | $1,800,893,222 | |||
| Total Medicare Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $4,342,901 | |||
| Avg Charges at DRG | $92,051 | |||
| Avg Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $140,094 | |||
| Mortality Rate at DRG | 2.9 | |||
| Mortality Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | NA | |||
| SNF Discharge Rate at DRG | 33.4 | |||
| SNF Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | NA | |||
| Home Discharge Rate at DRG | 19.47 | |||
| Home Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89620 - Pressure ulcer of left heel, unstageable | 6,287 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89620 - Pressure ulcer of left heel, unstageable in DRG | 14.86 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89620 - Pressure ulcer of left heel, unstageable | 8.87 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 32.06 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 22.9 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89620 - Pressure ulcer of left heel, unstageable | $84,017,226 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89620 - Pressure ulcer of left heel, unstageable | $13,364 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $458,379,859 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $72,909 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 15.16 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 40.32 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 5.15 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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 | 365,119 | ||||
| Total Hospitalizations with ICD L89620 - Pressure ulcer of left heel, unstageable | 947 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89620 - Pressure ulcer of left heel, unstageable in DRG | 2.24 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89620 - Pressure ulcer of left heel, unstageable | 9.65 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 29.69 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 23.08 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89620 - Pressure ulcer of left heel, unstageable | $11,965,646 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,309 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89620 - Pressure ulcer of left heel, unstageable | $12,635 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $62,839,970 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $66,357 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 7.29 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 47.84 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 6.44 |
*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 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89620 - Pressure ulcer of left heel, unstageable | 632 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89620 - Pressure ulcer of left heel, unstageable in DRG | 1.49 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89620 - Pressure ulcer of left heel, unstageable | 24.3 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 40.84 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 26.91 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89620 - Pressure ulcer of left heel, unstageable | $28,301,340 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,843 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89620 - Pressure ulcer of left heel, unstageable | $44,781 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $113,751,170 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $179,986 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 10.76 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 45.41 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 4.43 |
*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 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS 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 | 19,663 | ||||
| Total Hospitalizations with ICD L89620 - Pressure ulcer of left heel, unstageable | 587 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD L89620 - Pressure ulcer of left heel, unstageable in DRG | 1.39 | ||||
| Avg LOS at DRG | 13.89 | ||||
| Avg LOS with ICD L89620 - Pressure ulcer of left heel, unstageable | 22.85 | ||||
| Readmission Rate at DRG | 32.63 | ||||
| Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 35.3 | ||||
| Unplanned Readmission Rate at DRG | 18.18 | ||||
| Unplanned Readmission Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 22.37 | ||||
| Total Medicare payments at DRG | $387,130,602 | ||||
| Total Medicare payments with ICD L89620 - Pressure ulcer of left heel, unstageable | $15,684,986 | ||||
| Total Medicare payment per Day at DRG | $1,417 | ||||
| Total Medicare payment per Day with ICD L89620 - Pressure ulcer of left heel, unstageable | $1,169 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||||
| Total Medicare payment per Hospitalization with ICD L89620 - Pressure ulcer of left heel, unstageable | $26,721 | ||||
| Total Medicare Charges at DRG | $1,865,858,139 | ||||
| Total Medicare Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $77,244,593 | ||||
| Avg Charges at DRG | $94,892 | ||||
| Avg Charges with ICD L89620 - Pressure ulcer of left heel, unstageable | $131,592 | ||||
| Mortality Rate at DRG | 3.29 | ||||
| Mortality Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 4.94 | ||||
| SNF Discharge Rate at DRG | 40.65 | ||||
| SNF Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 52.64 | ||||
| Home Discharge Rate at DRG | 12.36 | ||||
| Home Discharge Rate with ICD L89620 - Pressure ulcer of left heel, unstageable | 4.43 |
| 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 | 301 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 219 |
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 204 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. THIRUVOIPATI NANDAKUMAR | 2801 EUREKA WAY | REDDING | CA | 96001 | 79 |
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 56 |
| Dr. KEVIN J RAINSFORD | 2801 EUREKA WAY | REDDING | CA | 96001 | 50 |
| 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 | 133 |
| Dr. THIRUVOIPATI NANDAKUMAR | 2801 EUREKA WAY | REDDING | CA | 96001 | 79 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 69 |