*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89892 - Pressure ulcer of other site, stage 2 - as a primary diagnosis code | L89892 - Pressure ulcer of other site, stage 2 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.22 | |
| Readmission Rate (%) | 31.35 | |
| Unplanned Readmission Rate (%) | 16.72 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | |||
| Total Hospitalizations with ICD L89892 - Pressure ulcer of other site, stage 2 | 176 | |||
| DRG Share of Total Hospitalizations | 0.04 | |||
| % of Total ICD L89892 - Pressure ulcer of other site, stage 2 in DRG | 58.47 | |||
| Avg LOS at DRG | 5.64 | |||
| Avg LOS with ICD L89892 - Pressure ulcer of other site, stage 2 | 6.46 | |||
| Readmission Rate at DRG | 22.72 | |||
| Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 23.35 | |||
| Unplanned Readmission Rate at DRG | 14.28 | |||
| Unplanned Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 12.57 | |||
| Total Medicare payments at DRG | $89,658,501 | |||
| Total Medicare payments with ICD L89892 - Pressure ulcer of other site, stage 2 | $1,227,759 | |||
| Total Medicare payment per Day at DRG | $1,271 | |||
| Total Medicare payment per Day with ICD L89892 - Pressure ulcer of other site, stage 2 | $1,080 | |||
| Total Medicare payment per Hospitalization at DRG | $7,170 | |||
| Total Medicare payment per Hospitalization with ICD L89892 - Pressure ulcer of other site, stage 2 | $6,976 | |||
| Total Medicare Charges at DRG | $390,008,015 | |||
| Total Medicare Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $5,360,884 | |||
| Avg Charges at DRG | $31,188 | |||
| Avg Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $30,460 | |||
| Mortality Rate at DRG | 0.5 | |||
| Mortality Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | NA | |||
| SNF Discharge Rate at DRG | 30.53 | |||
| SNF Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 37.5 | |||
| Home Discharge Rate at DRG | 26.79 | |||
| Home Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 19.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89892 - Pressure ulcer of other site, stage 2 | 4,491 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89892 - Pressure ulcer of other site, stage 2 in DRG | 14.41 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89892 - Pressure ulcer of other site, stage 2 | 8.14 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 31.98 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 22.18 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89892 - Pressure ulcer of other site, stage 2 | $56,568,182 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89892 - Pressure ulcer of other site, stage 2 | $1,548 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89892 - Pressure ulcer of other site, stage 2 | $12,596 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $297,156,072 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $66,167 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 12.85 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 39.77 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 8.39 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L89892 - Pressure ulcer of other site, stage 2 | 722 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L89892 - Pressure ulcer of other site, stage 2 in DRG | 2.32 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L89892 - Pressure ulcer of other site, stage 2 | 5.06 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 21.31 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 13.78 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L89892 - Pressure ulcer of other site, stage 2 | $4,133,987 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L89892 - Pressure ulcer of other site, stage 2 | $1,133 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L89892 - Pressure ulcer of other site, stage 2 | $5,726 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $20,685,318 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $28,650 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 36.29 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 25.21 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT 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 | 99,136 | ||||
| Total Hospitalizations with ICD L89892 - Pressure ulcer of other site, stage 2 | 575 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L89892 - Pressure ulcer of other site, stage 2 in DRG | 1.84 | ||||
| Avg LOS at DRG | 22.0 | ||||
| Avg LOS with ICD L89892 - Pressure ulcer of other site, stage 2 | 28.63 | ||||
| Readmission Rate at DRG | 40.67 | ||||
| Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 42.14 | ||||
| Unplanned Readmission Rate at DRG | 20.54 | ||||
| Unplanned Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 24.19 | ||||
| Total Medicare payments at DRG | $4,616,563,352 | ||||
| Total Medicare payments with ICD L89892 - Pressure ulcer of other site, stage 2 | $32,146,529 | ||||
| Total Medicare payment per Day at DRG | $2,116 | ||||
| Total Medicare payment per Day with ICD L89892 - Pressure ulcer of other site, stage 2 | $1,953 | ||||
| Total Medicare payment per Hospitalization at DRG | $46,568 | ||||
| Total Medicare payment per Hospitalization with ICD L89892 - Pressure ulcer of other site, stage 2 | $55,907 | ||||
| Total Medicare Charges at DRG | $21,375,486,291 | ||||
| Total Medicare Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $130,057,893 | ||||
| Avg Charges at DRG | $215,618 | ||||
| Avg Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $226,188 | ||||
| Mortality Rate at DRG | 28.16 | ||||
| Mortality Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 21.04 | ||||
| SNF Discharge Rate at DRG | 30.65 | ||||
| SNF Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 43.48 | ||||
| Home Discharge Rate at DRG | 5.17 | ||||
| Home Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 2.78 |
*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 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L89892 - Pressure ulcer of other site, stage 2 | 419 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L89892 - Pressure ulcer of other site, stage 2 in DRG | 1.34 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L89892 - Pressure ulcer of other site, stage 2 | 7.15 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 27.08 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 19.57 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L89892 - Pressure ulcer of other site, stage 2 | $4,092,346 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L89892 - Pressure ulcer of other site, stage 2 | $1,366 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L89892 - Pressure ulcer of other site, stage 2 | $9,767 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $20,656,601 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L89892 - Pressure ulcer of other site, stage 2 | $49,300 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 7.64 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 39.86 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L89892 - Pressure ulcer of other site, stage 2 | 16.47 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 204 |
| FREDERICK MEMORIAL HOSPITAL | 400 W 7TH ST | FREDERICK | MD | 21701 | 124 |
| INDIANA UNIVERSITY HEALTH | 1701 N SENATE | INDIANAPOLIS | IN | 46202 | 119 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 34 |
| Dr. FELIKS CHECHELNIKER | 312 NEPTUNE AVE | BROOKLYN | NY | 11235 | 23 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 39 |
| Dr. JAMES W MCCAULEY | 15260 NW 147TH DR | ALACHUA | FL | 32615 | 37 |
| Dr. ROBERT WEISBERG | 857 MONTGOMERY AVE | NARBERTH | PA | 19072 | 35 |