*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89893 - Pressure ulcer of other site, stage 3 - as a primary diagnosis code | L89893 - Pressure ulcer of other site, stage 3 - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 13.13 | |
| Readmission Rate (%) | 34.23 | |
| Unplanned Readmission Rate (%) | 15.61 | |
| 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 L89893 - Pressure ulcer of other site, stage 3 | 385 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89893 - Pressure ulcer of other site, stage 3 in DRG | 49.87 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD L89893 - Pressure ulcer of other site, stage 3 | 10.45 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 28.33 | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 14.73 | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD L89893 - Pressure ulcer of other site, stage 3 | $4,858,973 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD L89893 - Pressure ulcer of other site, stage 3 | $1,207 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD L89893 - Pressure ulcer of other site, stage 3 | $12,621 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $19,188,135 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $49,839 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 38.96 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 12.99 |
*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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89893 - Pressure ulcer of other site, stage 3 | 4,059 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89893 - Pressure ulcer of other site, stage 3 in DRG | 16.26 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89893 - Pressure ulcer of other site, stage 3 | 8.7 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 33.63 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 22.48 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89893 - Pressure ulcer of other site, stage 3 | $53,269,252 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89893 - Pressure ulcer of other site, stage 3 | $1,508 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89893 - Pressure ulcer of other site, stage 3 | $13,124 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $290,329,566 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $71,527 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 12.44 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 36.98 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 9.61 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,541 | ||||
| Total Hospitalizations with ICD L89893 - Pressure ulcer of other site, stage 3 | 805 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L89893 - Pressure ulcer of other site, stage 3 in DRG | 3.22 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD L89893 - Pressure ulcer of other site, stage 3 | 6.23 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 23.46 | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 15.86 | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD L89893 - Pressure ulcer of other site, stage 3 | $7,337,028 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD L89893 - Pressure ulcer of other site, stage 3 | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD L89893 - Pressure ulcer of other site, stage 3 | $9,114 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $28,363,444 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $35,234 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | NA | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 33.66 | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 20.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,217 | ||||
| Total Hospitalizations with ICD L89893 - Pressure ulcer of other site, stage 3 | 536 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L89893 - Pressure ulcer of other site, stage 3 in DRG | 2.15 | ||||
| Avg LOS at DRG | 14.88 | ||||
| Avg LOS with ICD L89893 - Pressure ulcer of other site, stage 3 | 17.9 | ||||
| Readmission Rate at DRG | 41.65 | ||||
| Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 46.33 | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 30.51 | ||||
| Total Medicare payments at DRG | $4,073,197,631 | ||||
| Total Medicare payments with ICD L89893 - Pressure ulcer of other site, stage 3 | $22,956,429 | ||||
| Total Medicare payment per Day at DRG | $2,758 | ||||
| Total Medicare payment per Day with ICD L89893 - Pressure ulcer of other site, stage 3 | $2,393 | ||||
| Total Medicare payment per Hospitalization at DRG | $41,053 | ||||
| Total Medicare payment per Hospitalization with ICD L89893 - Pressure ulcer of other site, stage 3 | $42,829 | ||||
| Total Medicare Charges at DRG | $20,258,140,795 | ||||
| Total Medicare Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $114,959,812 | ||||
| Avg Charges at DRG | $204,180 | ||||
| Avg Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $214,477 | ||||
| Mortality Rate at DRG | 35.07 | ||||
| Mortality Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 30.41 | ||||
| SNF Discharge Rate at DRG | 25.76 | ||||
| SNF Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 39.18 | ||||
| Home Discharge Rate at DRG | 4.34 | ||||
| Home Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 2.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 21,937 | ||||
| Total Hospitalizations with ICD L89893 - Pressure ulcer of other site, stage 3 | 417 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD L89893 - Pressure ulcer of other site, stage 3 in DRG | 1.67 | ||||
| Avg LOS at DRG | 16.52 | ||||
| Avg LOS with ICD L89893 - Pressure ulcer of other site, stage 3 | 23.31 | ||||
| Readmission Rate at DRG | 37.15 | ||||
| Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 32.89 | ||||
| Unplanned Readmission Rate at DRG | 16.35 | ||||
| Unplanned Readmission Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 18.45 | ||||
| Total Medicare payments at DRG | $780,341,037 | ||||
| Total Medicare payments with ICD L89893 - Pressure ulcer of other site, stage 3 | $15,196,853 | ||||
| Total Medicare payment per Day at DRG | $2,153 | ||||
| Total Medicare payment per Day with ICD L89893 - Pressure ulcer of other site, stage 3 | $1,563 | ||||
| Total Medicare payment per Hospitalization at DRG | $35,572 | ||||
| Total Medicare payment per Hospitalization with ICD L89893 - Pressure ulcer of other site, stage 3 | $36,443 | ||||
| Total Medicare Charges at DRG | $3,533,335,871 | ||||
| Total Medicare Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $64,984,760 | ||||
| Avg Charges at DRG | $161,067 | ||||
| Avg Charges with ICD L89893 - Pressure ulcer of other site, stage 3 | $155,839 | ||||
| Mortality Rate at DRG | 3.69 | ||||
| Mortality Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 3.36 | ||||
| SNF Discharge Rate at DRG | 44.59 | ||||
| SNF Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 43.17 | ||||
| Home Discharge Rate at DRG | 8.54 | ||||
| Home Discharge Rate with ICD L89893 - Pressure ulcer of other site, stage 3 | 8.87 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BEAUMONT HOSPITAL ROYAL OAK | 3601 W 13 MILE RD | ROYAL OAK | MI | 48073 | 110 |
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 99 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 97 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 23 |
| Dr. RAKESH SHRIVASTAVA | 3400 S DOUGLAS BLVD | OKLAHOMA CITY | OK | 73150 | 22 |
| Dr. NAJI KAMAL BADDOURA | 14434 BRUCE B DOWNS BLVD | TAMPA | FL | 33613 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DANIEL LIND CROCKER | 1041 NOELL LN | ROCKY MOUNT | NC | 27804 | 49 |
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 34 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 28 |