*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89629 - Pressure ulcer of left heel, unspecified stage - as a primary diagnosis code | L89629 - Pressure ulcer of left heel, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.37 | |
| Readmission Rate (%) | 32.34 | |
| Unplanned Readmission Rate (%) | 16.25 | |
| 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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 136 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89629 - Pressure ulcer of left heel, unspecified stage in DRG | 34.87 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 4.76 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 25.78 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 17.19 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,000,131 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,546 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $7,354 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $3,791,045 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $27,875 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 34.56 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 23.53 |
*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) | DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 32,775 | |||
| Total Hospitalizations with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 22 | |||
| DRG Share of Total Hospitalizations | 0.1 | |||
| % of Total ICD L89629 - Pressure ulcer of left heel, unspecified stage in DRG | 5.64 | |||
| Avg LOS at DRG | 4.93 | |||
| Avg LOS with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 6.5 | |||
| Readmission Rate at DRG | 16.64 | |||
| Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | NA | |||
| Unplanned Readmission Rate at DRG | 9.37 | |||
| Unplanned Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | NA | |||
| Total Medicare payments at DRG | $321,966,863 | |||
| Total Medicare payments with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $206,589 | |||
| Total Medicare payment per Day at DRG | $1,993 | |||
| Total Medicare payment per Day with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,445 | |||
| Total Medicare payment per Hospitalization at DRG | $9,824 | |||
| Total Medicare payment per Hospitalization with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $9,390 | |||
| Total Medicare Charges at DRG | $1,646,314,545 | |||
| Total Medicare Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $852,248 | |||
| Avg Charges at DRG | $50,231 | |||
| Avg Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $38,739 | |||
| Mortality Rate at DRG | 0.09 | |||
| Mortality Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | NA | |||
| SNF Discharge Rate at DRG | 17.01 | |||
| SNF Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 50.0 | |||
| Home Discharge Rate at DRG | 43.69 | |||
| Home Discharge Rate with ICD L89629 - Pressure ulcer of left 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 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK 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 L89629 - Pressure ulcer of left heel, unspecified stage | 4,183 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89629 - Pressure ulcer of left heel, unspecified stage in DRG | 15.4 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 7.61 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 29.47 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 20.55 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $51,535,885 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $12,320 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $276,559,993 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $66,115 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 15.42 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 38.44 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 6.6 |
*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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT 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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 270,209 | ||||
| Total Hospitalizations with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 574 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L89629 - Pressure ulcer of left heel, unspecified stage in DRG | 2.11 | ||||
| Avg LOS at DRG | 4.84 | ||||
| Avg LOS with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 5.93 | ||||
| Readmission Rate at DRG | 22.35 | ||||
| Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 27.54 | ||||
| Unplanned Readmission Rate at DRG | 16.33 | ||||
| Unplanned Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 22.0 | ||||
| Total Medicare payments at DRG | $1,824,333,389 | ||||
| Total Medicare payments with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $4,146,583 | ||||
| Total Medicare payment per Day at DRG | $1,395 | ||||
| Total Medicare payment per Day with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,219 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,752 | ||||
| Total Medicare payment per Hospitalization with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $7,224 | ||||
| Total Medicare Charges at DRG | $9,128,673,695 | ||||
| Total Medicare Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $21,208,741 | ||||
| Avg Charges at DRG | $33,784 | ||||
| Avg Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $36,949 | ||||
| Mortality Rate at DRG | 1.32 | ||||
| Mortality Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 39.0 | ||||
| SNF Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 49.3 | ||||
| Home Discharge Rate at DRG | 24.73 | ||||
| Home Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 11.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 | 539,642 | ||||
| Total Hospitalizations with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 392 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L89629 - Pressure ulcer of left heel, unspecified stage in DRG | 1.44 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 12.43 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 24.44 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $6,428,875 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,320 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $16,400 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $30,457,661 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $77,698 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 14.03 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 40.31 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 7.65 |
*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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 315 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD L89629 - Pressure ulcer of left heel, unspecified stage in DRG | 1.16 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 5.32 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 27.46 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 21.36 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,896,451 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $1,131 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $6,020 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $9,706,734 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD L89629 - Pressure ulcer of left heel, unspecified stage | $30,815 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 42.54 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD L89629 - Pressure ulcer of left heel, unspecified stage | 14.6 |
| 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 | 116 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 93 |
| WADLEY REGIONAL MEDICAL CENTER | 1000 PINE ST | TEXARKANA | TX | 75501 | 84 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 23 |
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 19 |
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 19 |
| 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 | 40 |
| Dr. CARLOS LUIS PEREZ | 921 TEXAS BLVD | TEXARKANA | TX | 75501 | 40 |
| Dr. DEFENG CHEN | 613 ELIZABETH ST | CORPUS CHRISTI | TX | 78404 | 37 |