*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89622 - Pressure ulcer of left heel, stage 2 - as a primary diagnosis code | L89622 - Pressure ulcer of left heel, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.91 | |
| Readmission Rate (%) | 31.57 | |
| Unplanned Readmission Rate (%) | 18.97 | |
| 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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89622 - Pressure ulcer of left heel, stage 2 | 136 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89622 - Pressure ulcer of left heel, stage 2 in DRG | 44.44 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89622 - Pressure ulcer of left heel, stage 2 | 5.19 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 21.71 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 18.6 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89622 - Pressure ulcer of left heel, stage 2 | $911,536 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,291 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89622 - Pressure ulcer of left heel, stage 2 | $6,702 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $4,083,333 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $30,025 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 41.91 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 12.5 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 32,775 | |
| Total Hospitalizations with ICD L89622 - Pressure ulcer of left heel, stage 2 | 12 | |
| DRG Share of Total Hospitalizations | 0.1 | |
| % of Total ICD L89622 - Pressure ulcer of left heel, stage 2 in DRG | 3.92 | |
| Avg LOS at DRG | 4.93 | |
| Avg LOS with ICD L89622 - Pressure ulcer of left heel, stage 2 | 6.92 | |
| Readmission Rate at DRG | 16.64 | |
| Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | NA | |
| Unplanned Readmission Rate at DRG | 9.37 | |
| Unplanned Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | NA | |
| Total Medicare payments at DRG | $321,966,863 | |
| Total Medicare payments with ICD L89622 - Pressure ulcer of left heel, stage 2 | $124,242 | |
| Total Medicare payment per Day at DRG | $1,993 | |
| Total Medicare payment per Day with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,497 | |
| Total Medicare payment per Hospitalization at DRG | $9,824 | |
| Total Medicare payment per Hospitalization with ICD L89622 - Pressure ulcer of left heel, stage 2 | $10,354 | |
| Total Medicare Charges at DRG | $1,646,314,545 | |
| Total Medicare Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $611,894 | |
| Avg Charges at DRG | $50,231 | |
| Avg Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $50,991 | |
| Mortality Rate at DRG | 0.09 | |
| Mortality Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | NA | |
| SNF Discharge Rate at DRG | 17.01 | |
| SNF Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | NA | |
| Home Discharge Rate at DRG | 43.69 | |
| Home Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89622 - Pressure ulcer of left heel, stage 2 | 3,072 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89622 - Pressure ulcer of left heel, stage 2 in DRG | 14.48 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89622 - Pressure ulcer of left heel, stage 2 | 8.46 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 32.99 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 23.74 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89622 - Pressure ulcer of left heel, stage 2 | $39,141,637 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,506 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89622 - Pressure ulcer of left heel, stage 2 | $12,741 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $213,723,320 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $69,571 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 11.59 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 42.32 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 7.29 |
*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 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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD L89622 - Pressure ulcer of left heel, stage 2 | 523 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89622 - Pressure ulcer of left heel, stage 2 in DRG | 2.46 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89622 - Pressure ulcer of left heel, stage 2 | 8.45 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 28.96 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 20.42 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89622 - Pressure ulcer of left heel, stage 2 | $5,822,651 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,317 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89622 - Pressure ulcer of left heel, stage 2 | $11,133 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $29,891,314 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $57,154 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 4.59 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 44.36 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 9.75 |
*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 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 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD L89622 - Pressure ulcer of left heel, stage 2 | 308 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L89622 - Pressure ulcer of left heel, stage 2 in DRG | 1.45 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L89622 - Pressure ulcer of left heel, stage 2 | 5.18 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 22.3 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 16.55 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,734,485 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,087 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L89622 - Pressure ulcer of left heel, stage 2 | $5,631 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $9,023,200 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $29,296 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 44.48 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 13.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 231,812 | ||||
| Total Hospitalizations with ICD L89622 - Pressure ulcer of left heel, stage 2 | 265 | ||||
| DRG Share of Total Hospitalizations | 0.71 | ||||
| % of Total ICD L89622 - Pressure ulcer of left heel, stage 2 in DRG | 1.25 | ||||
| Avg LOS at DRG | 4.41 | ||||
| Avg LOS with ICD L89622 - Pressure ulcer of left heel, stage 2 | 6.62 | ||||
| Readmission Rate at DRG | 29.12 | ||||
| Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 34.84 | ||||
| Unplanned Readmission Rate at DRG | 22.82 | ||||
| Unplanned Readmission Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 28.69 | ||||
| Total Medicare payments at DRG | $1,743,376,418 | ||||
| Total Medicare payments with ICD L89622 - Pressure ulcer of left heel, stage 2 | $2,138,002 | ||||
| Total Medicare payment per Day at DRG | $1,704 | ||||
| Total Medicare payment per Day with ICD L89622 - Pressure ulcer of left heel, stage 2 | $1,220 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,521 | ||||
| Total Medicare payment per Hospitalization with ICD L89622 - Pressure ulcer of left heel, stage 2 | $8,068 | ||||
| Total Medicare Charges at DRG | $8,543,867,896 | ||||
| Total Medicare Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $12,009,508 | ||||
| Avg Charges at DRG | $36,857 | ||||
| Avg Charges with ICD L89622 - Pressure ulcer of left heel, stage 2 | $45,319 | ||||
| Mortality Rate at DRG | 2.89 | ||||
| Mortality Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 4.91 | ||||
| SNF Discharge Rate at DRG | 22.92 | ||||
| SNF Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 39.25 | ||||
| Home Discharge Rate at DRG | 43.02 | ||||
| Home Discharge Rate with ICD L89622 - Pressure ulcer of left heel, stage 2 | 12.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 76 |
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 75 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | 500 MEDICAL CENTER BLVD | WEBSTER | TX | 77598 | 70 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 21 |
| Dr. WILLIAM ST. JOHN LACORTE | 519 METAIRIE RD | METAIRIE | LA | 70005 | 17 |
| Dr. MOHAMEDAOUF KHAZNADAR | 1901 MEDI PARK DR | AMARILLO | TX | 79106 | 15 |