*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89621 - Pressure ulcer of left heel, stage 1 - as a primary diagnosis code | L89621 - Pressure ulcer of left heel, stage 1 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.9 | |
| Readmission Rate (%) | 28.03 | |
| Unplanned Readmission Rate (%) | NA | |
| 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) | |
|---|---|---|
| Total Hospitalizations at DRG | 12,505 | |
| Total Hospitalizations with ICD L89621 - Pressure ulcer of left heel, stage 1 | 16 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD L89621 - Pressure ulcer of left heel, stage 1 in DRG | 37.21 | |
| Avg LOS at DRG | 5.64 | |
| Avg LOS with ICD L89621 - Pressure ulcer of left heel, stage 1 | 9.31 | |
| Readmission Rate at DRG | 22.72 | |
| Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | NA | |
| Unplanned Readmission Rate at DRG | 14.28 | |
| Unplanned Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | NA | |
| Total Medicare payments at DRG | $89,658,501 | |
| Total Medicare payments with ICD L89621 - Pressure ulcer of left heel, stage 1 | $141,693 | |
| Total Medicare payment per Day at DRG | $1,271 | |
| Total Medicare payment per Day with ICD L89621 - Pressure ulcer of left heel, stage 1 | $951 | |
| Total Medicare payment per Hospitalization at DRG | $7,170 | |
| Total Medicare payment per Hospitalization with ICD L89621 - Pressure ulcer of left heel, stage 1 | $8,856 | |
| Total Medicare Charges at DRG | $390,008,015 | |
| Total Medicare Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $823,157 | |
| Avg Charges at DRG | $31,188 | |
| Avg Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $51,447 | |
| Mortality Rate at DRG | 0.5 | |
| Mortality Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | NA | |
| SNF Discharge Rate at DRG | 30.53 | |
| SNF Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | NA | |
| Home Discharge Rate at DRG | 26.79 | |
| Home Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS 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 L89621 - Pressure ulcer of left heel, stage 1 | 3,274 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89621 - Pressure ulcer of left heel, stage 1 in DRG | 14.14 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89621 - Pressure ulcer of left heel, stage 1 | 8.76 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 27.43 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 20.05 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89621 - Pressure ulcer of left heel, stage 1 | $46,552,569 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89621 - Pressure ulcer of left heel, stage 1 | $1,623 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89621 - Pressure ulcer of left heel, stage 1 | $14,219 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $236,632,948 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $72,276 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 13.23 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 45.27 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 6.08 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89621 - Pressure ulcer of left heel, stage 1 | 528 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89621 - Pressure ulcer of left heel, stage 1 in DRG | 2.28 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89621 - Pressure ulcer of left heel, stage 1 | 7.2 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 24.65 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 19.84 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89621 - Pressure ulcer of left heel, stage 1 | $4,518,983 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89621 - Pressure ulcer of left heel, stage 1 | $1,189 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89621 - Pressure ulcer of left heel, stage 1 | $8,559 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $24,180,708 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $45,797 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 2.84 | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 45.27 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 11.55 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L89621 - Pressure ulcer of left heel, stage 1 | 398 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89621 - Pressure ulcer of left heel, stage 1 in DRG | 1.72 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89621 - Pressure ulcer of left heel, stage 1 | 7.87 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 25.63 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 18.59 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89621 - Pressure ulcer of left heel, stage 1 | $4,193,025 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89621 - Pressure ulcer of left heel, stage 1 | $1,338 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89621 - Pressure ulcer of left heel, stage 1 | $10,535 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $23,585,257 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $59,259 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 6.53 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 44.47 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 12.31 |
*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 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L89621 - Pressure ulcer of left heel, stage 1 | 299 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89621 - Pressure ulcer of left heel, stage 1 in DRG | 1.29 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89621 - Pressure ulcer of left heel, stage 1 | 5.53 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 24.74 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 19.86 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89621 - Pressure ulcer of left heel, stage 1 | $2,080,336 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89621 - Pressure ulcer of left heel, stage 1 | $1,259 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89621 - Pressure ulcer of left heel, stage 1 | $6,958 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $10,948,422 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89621 - Pressure ulcer of left heel, stage 1 | $36,617 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 49.5 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89621 - Pressure ulcer of left heel, stage 1 | 11.37 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 1,005 |
| FLAGLER HOSPITAL | 400 HEALTH PARK BLVD | ST AUGUSTINE | FL | 32086 | 445 |
| RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION | 530 NEW BRUNSWICK AVE | PERTH AMBOY | NJ | 08861 | 395 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 89 |
| Dr. FELIKS CHECHELNIKER | 312 NEPTUNE AVE | BROOKLYN | NY | 11235 | 83 |
| Dr. PAVEL SHULMAN | 312 NEPTUNE AVE | BROOKLYN | NY | 11235 | 43 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 124 |
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 122 |
| Dr. FELIKS CHECHELNIKER | 312 NEPTUNE AVE | BROOKLYN | NY | 11235 | 104 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | E039 | Hypothyroidism, unspecified |
| 2 | I10 | Essential (primary) hypertension |