*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89623 - Pressure ulcer of left heel, stage 3 - as a primary diagnosis code | L89623 - Pressure ulcer of left heel, stage 3 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.32 | |
| Readmission Rate (%) | 33.66 | |
| Unplanned Readmission Rate (%) | 18.53 | |
| 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) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD L89623 - Pressure ulcer of left heel, stage 3 | 386 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89623 - Pressure ulcer of left heel, stage 3 in DRG | 49.3 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89623 - Pressure ulcer of left heel, stage 3 | 10.12 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 26.12 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 17.98 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89623 - Pressure ulcer of left heel, stage 3 | $4,757,217 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89623 - Pressure ulcer of left heel, stage 3 | $1,218 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89623 - Pressure ulcer of left heel, stage 3 | $12,324 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $22,395,735 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $58,020 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 45.6 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 11.14 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| RUSH HEALTH SYSTEMS | 1314 19TH AVE | MERIDIAN | MS | 39301 | 11 |
*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 592: SKIN ULCERS 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 L89623 - Pressure ulcer of left heel, stage 3 | 3,097 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89623 - Pressure ulcer of left heel, stage 3 in DRG | 16.2 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89623 - Pressure ulcer of left heel, stage 3 | 8.68 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 32.56 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 23.11 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89623 - Pressure ulcer of left heel, stage 3 | $39,318,379 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89623 - Pressure ulcer of left heel, stage 3 | $1,463 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89623 - Pressure ulcer of left heel, stage 3 | $12,696 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $214,408,786 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $69,231 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 10.3 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 42.3 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 7.91 |
*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 570: SKIN DEBRIDEMENT 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 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD L89623 - Pressure ulcer of left heel, stage 3 | 669 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89623 - Pressure ulcer of left heel, stage 3 in DRG | 3.5 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD L89623 - Pressure ulcer of left heel, stage 3 | 7.61 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 31.67 | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 23.55 | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD L89623 - Pressure ulcer of left heel, stage 3 | $7,154,561 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD L89623 - Pressure ulcer of left heel, stage 3 | $1,405 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD L89623 - Pressure ulcer of left heel, stage 3 | $10,694 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $34,280,043 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $51,241 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 4.04 | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 47.38 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 10.31 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L89623 - Pressure ulcer of left heel, stage 3 | 366 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89623 - Pressure ulcer of left heel, stage 3 in DRG | 1.91 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89623 - Pressure ulcer of left heel, stage 3 | 6.33 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 31.87 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 24.56 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89623 - Pressure ulcer of left heel, stage 3 | $3,237,530 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89623 - Pressure ulcer of left heel, stage 3 | $1,397 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89623 - Pressure ulcer of left heel, stage 3 | $8,846 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $16,144,531 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $44,111 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 45.63 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 15.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 190,819 | ||||
| Total Hospitalizations with ICD L89623 - Pressure ulcer of left heel, stage 3 | 293 | ||||
| DRG Share of Total Hospitalizations | 0.58 | ||||
| % of Total ICD L89623 - Pressure ulcer of left heel, stage 3 in DRG | 1.53 | ||||
| Avg LOS at DRG | 5.63 | ||||
| Avg LOS with ICD L89623 - Pressure ulcer of left heel, stage 3 | 6.06 | ||||
| Readmission Rate at DRG | 28.97 | ||||
| Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 22.07 | ||||
| Unplanned Readmission Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 26.74 | ||||
| Total Medicare payments at DRG | $2,165,853,817 | ||||
| Total Medicare payments with ICD L89623 - Pressure ulcer of left heel, stage 3 | $3,232,457 | ||||
| Total Medicare payment per Day at DRG | $2,015 | ||||
| Total Medicare payment per Day with ICD L89623 - Pressure ulcer of left heel, stage 3 | $1,820 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,350 | ||||
| Total Medicare payment per Hospitalization with ICD L89623 - Pressure ulcer of left heel, stage 3 | $11,032 | ||||
| Total Medicare Charges at DRG | $10,686,431,125 | ||||
| Total Medicare Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $16,216,162 | ||||
| Avg Charges at DRG | $56,003 | ||||
| Avg Charges with ICD L89623 - Pressure ulcer of left heel, stage 3 | $55,345 | ||||
| Mortality Rate at DRG | 5.35 | ||||
| Mortality Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 23.91 | ||||
| SNF Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 52.22 | ||||
| Home Discharge Rate at DRG | 39.51 | ||||
| Home Discharge Rate with ICD L89623 - Pressure ulcer of left heel, stage 3 | 13.99 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 83 |
| MAIMONIDES MEDICAL CENTER | 4802 10TH AVE | BROOKLYN | NY | 11219 | 68 |
| WHITE PLAINS HOSPITAL CENTER | 41 E POST ROAD | WHITE PLAINS | NY | 10601 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHARLES M MCCLEAN | 3600 MATLOCK RD | ARLINGTON | TX | 76015 | 13 |
| Dr. CHRISTOPHER PAUL WERNER | 215 OLD HIGHWAY 1187 | BURLESON | TX | 76028 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 23 |
| Dr. IZZAT ELIAS CAROUBA | 29877 TELEGRAPH RD | SOUTHFIELD | MI | 48034 | 13 |
| Dr. SUMEET SHETTY | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 12 |