*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89890 - Pressure ulcer of other site, unstageable - as a primary diagnosis code | L89890 - Pressure ulcer of other site, unstageable - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.44 | |
| Readmission Rate (%) | 34.02 | |
| Unplanned Readmission Rate (%) | 17.25 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89890 - Pressure ulcer of other site, unstageable | 78 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89890 - Pressure ulcer of other site, unstageable in DRG | 28.16 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89890 - Pressure ulcer of other site, unstageable | 7.36 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 22.97 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 16.22 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89890 - Pressure ulcer of other site, unstageable | $606,798 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89890 - Pressure ulcer of other site, unstageable | $1,057 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89890 - Pressure ulcer of other site, unstageable | $7,779 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $3,073,136 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $39,399 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89890 - Pressure ulcer of other site, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 42.31 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 16.67 |
*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 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,564 | |
| Total Hospitalizations with ICD L89890 - Pressure ulcer of other site, unstageable | 13 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD L89890 - Pressure ulcer of other site, unstageable in DRG | 4.69 | |
| Avg LOS at DRG | 11.79 | |
| Avg LOS with ICD L89890 - Pressure ulcer of other site, unstageable | 11.92 | |
| Readmission Rate at DRG | 31.21 | |
| Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | NA | |
| Unplanned Readmission Rate at DRG | 16.98 | |
| Unplanned Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | NA | |
| Total Medicare payments at DRG | $382,049,643 | |
| Total Medicare payments with ICD L89890 - Pressure ulcer of other site, unstageable | $219,321 | |
| Total Medicare payment per Day at DRG | $1,656 | |
| Total Medicare payment per Day with ICD L89890 - Pressure ulcer of other site, unstageable | $1,415 | |
| Total Medicare payment per Hospitalization at DRG | $19,528 | |
| Total Medicare payment per Hospitalization with ICD L89890 - Pressure ulcer of other site, unstageable | $16,871 | |
| Total Medicare Charges at DRG | $1,800,893,222 | |
| Total Medicare Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $1,216,648 | |
| Avg Charges at DRG | $92,051 | |
| Avg Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $93,588 | |
| Mortality Rate at DRG | 2.9 | |
| Mortality Rate with ICD L89890 - Pressure ulcer of other site, unstageable | NA | |
| SNF Discharge Rate at DRG | 33.4 | |
| SNF Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | NA | |
| Home Discharge Rate at DRG | 19.47 | |
| Home Discharge Rate with ICD L89890 - Pressure ulcer of other site, 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 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 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 L89890 - Pressure ulcer of other site, unstageable | 3,772 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89890 - Pressure ulcer of other site, unstageable in DRG | 15.24 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89890 - Pressure ulcer of other site, unstageable | 9.11 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 33.38 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 23.78 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89890 - Pressure ulcer of other site, unstageable | $51,443,462 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89890 - Pressure ulcer of other site, unstageable | $1,497 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89890 - Pressure ulcer of other site, unstageable | $13,638 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $281,789,880 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $74,706 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 16.07 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 38.68 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 5.86 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD L89890 - Pressure ulcer of other site, unstageable | 662 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L89890 - Pressure ulcer of other site, unstageable in DRG | 2.67 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L89890 - Pressure ulcer of other site, unstageable | 18.89 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 36.97 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 24.37 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L89890 - Pressure ulcer of other site, unstageable | $16,468,626 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L89890 - Pressure ulcer of other site, unstageable | $1,317 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L89890 - Pressure ulcer of other site, unstageable | $24,877 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $79,194,903 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $119,630 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 19.03 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 40.03 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 4.53 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||||
| Total Hospitalizations with ICD L89890 - Pressure ulcer of other site, unstageable | 404 | ||||
| DRG Share of Total Hospitalizations | 0.33 | ||||
| % of Total ICD L89890 - Pressure ulcer of other site, unstageable in DRG | 1.63 | ||||
| Avg LOS at DRG | 12.66 | ||||
| Avg LOS with ICD L89890 - Pressure ulcer of other site, unstageable | 26.25 | ||||
| Readmission Rate at DRG | 35.31 | ||||
| Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 40.36 | ||||
| Unplanned Readmission Rate at DRG | 20.73 | ||||
| Unplanned Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 26.2 | ||||
| Total Medicare payments at DRG | $3,554,922,428 | ||||
| Total Medicare payments with ICD L89890 - Pressure ulcer of other site, unstageable | $19,169,956 | ||||
| Total Medicare payment per Day at DRG | $2,575 | ||||
| Total Medicare payment per Day with ICD L89890 - Pressure ulcer of other site, unstageable | $1,808 | ||||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||||
| Total Medicare payment per Hospitalization with ICD L89890 - Pressure ulcer of other site, unstageable | $47,450 | ||||
| Total Medicare Charges at DRG | $15,445,232,132 | ||||
| Total Medicare Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $75,703,873 | ||||
| Avg Charges at DRG | $141,676 | ||||
| Avg Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $187,386 | ||||
| Mortality Rate at DRG | 8.99 | ||||
| Mortality Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 10.89 | ||||
| SNF Discharge Rate at DRG | 27.26 | ||||
| SNF Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 44.55 | ||||
| Home Discharge Rate at DRG | 27.78 | ||||
| Home Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 4.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 65,966 | ||||
| Total Hospitalizations with ICD L89890 - Pressure ulcer of other site, unstageable | 296 | ||||
| DRG Share of Total Hospitalizations | 0.2 | ||||
| % of Total ICD L89890 - Pressure ulcer of other site, unstageable in DRG | 1.2 | ||||
| Avg LOS at DRG | 13.11 | ||||
| Avg LOS with ICD L89890 - Pressure ulcer of other site, unstageable | 16.48 | ||||
| Readmission Rate at DRG | 21.08 | ||||
| Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 32.63 | ||||
| Unplanned Readmission Rate at DRG | 14.13 | ||||
| Unplanned Readmission Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 21.61 | ||||
| Total Medicare payments at DRG | $1,323,430,782 | ||||
| Total Medicare payments with ICD L89890 - Pressure ulcer of other site, unstageable | $6,696,074 | ||||
| Total Medicare payment per Day at DRG | $1,530 | ||||
| Total Medicare payment per Day with ICD L89890 - Pressure ulcer of other site, unstageable | $1,372 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,062 | ||||
| Total Medicare payment per Hospitalization with ICD L89890 - Pressure ulcer of other site, unstageable | $22,622 | ||||
| Total Medicare Charges at DRG | $3,810,466,828 | ||||
| Total Medicare Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $20,274,100 | ||||
| Avg Charges at DRG | $57,764 | ||||
| Avg Charges with ICD L89890 - Pressure ulcer of other site, unstageable | $68,494 | ||||
| Mortality Rate at DRG | 1.49 | ||||
| Mortality Rate with ICD L89890 - Pressure ulcer of other site, unstageable | NA | ||||
| SNF Discharge Rate at DRG | 24.48 | ||||
| SNF Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 34.8 | ||||
| Home Discharge Rate at DRG | 12.66 | ||||
| Home Discharge Rate with ICD L89890 - Pressure ulcer of other site, unstageable | 5.07 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 193 |
| REGIONAL MEDICAL CENTER | 400 E 10TH ST | ANNISTON | AL | 36207 | 139 |
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 130 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GLENN ERIC HERRMANN | 130 OLD LARAMIE TRL E BLDG 4 | LAFAYETTE | CO | 80026 | 33 |
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 32 |
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 31 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. BELINDA A MERRITT | 180 MOUNT PELIA RD | MARTIN | TN | 38237 | 52 |
| Dr. SUNIL K GUPTA | 6226 SARATOGA BLVD | CORPUS CHRISTI | TX | 78414 | 51 |
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 45 |