*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L89899 - Pressure ulcer of other site, unspecified stage - as a primary diagnosis code | L89899 - Pressure ulcer of other site, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.21 | |
| Readmission Rate (%) | 31.27 | |
| Unplanned Readmission Rate (%) | 16.29 | |
| 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) | DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L89899 - Pressure ulcer of other site, unspecified stage | 196 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L89899 - Pressure ulcer of other site, unspecified stage in DRG | 37.12 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L89899 - Pressure ulcer of other site, unspecified stage | 5.12 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 27.03 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 16.76 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,277,221 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,273 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L89899 - Pressure ulcer of other site, unspecified stage | $6,516 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $5,154,168 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $26,297 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 31.63 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 19.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 19,663 | ||
| Total Hospitalizations with ICD L89899 - Pressure ulcer of other site, unspecified stage | 33 | ||
| DRG Share of Total Hospitalizations | 0.06 | ||
| % of Total ICD L89899 - Pressure ulcer of other site, unspecified stage in DRG | 6.25 | ||
| Avg LOS at DRG | 13.89 | ||
| Avg LOS with ICD L89899 - Pressure ulcer of other site, unspecified stage | 13.88 | ||
| Readmission Rate at DRG | 32.63 | ||
| Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 53.57 | ||
| Unplanned Readmission Rate at DRG | 18.18 | ||
| Unplanned Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | NA | ||
| Total Medicare payments at DRG | $387,130,602 | ||
| Total Medicare payments with ICD L89899 - Pressure ulcer of other site, unspecified stage | $625,803 | ||
| Total Medicare payment per Day at DRG | $1,417 | ||
| Total Medicare payment per Day with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,366 | ||
| Total Medicare payment per Hospitalization at DRG | $19,688 | ||
| Total Medicare payment per Hospitalization with ICD L89899 - Pressure ulcer of other site, unspecified stage | $18,964 | ||
| Total Medicare Charges at DRG | $1,865,858,139 | ||
| Total Medicare Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $3,265,112 | ||
| Avg Charges at DRG | $94,892 | ||
| Avg Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $98,943 | ||
| Mortality Rate at DRG | 3.29 | ||
| Mortality Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | NA | ||
| SNF Discharge Rate at DRG | 40.65 | ||
| SNF Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 42.42 | ||
| Home Discharge Rate at DRG | 12.36 | ||
| Home Discharge Rate with ICD L89899 - Pressure ulcer of other site, 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 603: CELLULITIS WITHOUT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L89899 - Pressure ulcer of other site, unspecified stage | 3,992 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L89899 - Pressure ulcer of other site, unspecified stage in DRG | 14.09 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L89899 - Pressure ulcer of other site, unspecified stage | 7.52 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 32.62 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 22.04 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L89899 - Pressure ulcer of other site, unspecified stage | $48,263,112 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L89899 - Pressure ulcer of other site, unspecified stage | $12,090 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $257,940,043 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $64,614 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 16.41 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 35.95 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 7.99 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD L89899 - Pressure ulcer of other site, unspecified stage | 654 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD L89899 - Pressure ulcer of other site, unspecified stage in DRG | 2.31 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD L89899 - Pressure ulcer of other site, unspecified stage | 5.63 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 27.6 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 18.23 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD L89899 - Pressure ulcer of other site, unspecified stage | $4,648,962 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,262 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD L89899 - Pressure ulcer of other site, unspecified stage | $7,109 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $25,560,491 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $39,083 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 3.82 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 35.93 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 21.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD L89899 - Pressure ulcer of other site, unspecified stage | 369 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L89899 - Pressure ulcer of other site, unspecified stage in DRG | 1.3 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L89899 - Pressure ulcer of other site, unspecified stage | 4.5 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 22.35 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 13.75 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L89899 - Pressure ulcer of other site, unspecified stage | $2,196,728 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,324 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L89899 - Pressure ulcer of other site, unspecified stage | $5,953 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $9,474,715 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $25,677 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 38.48 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 19.24 |
*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 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES 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 | 89,541 | ||||
| Total Hospitalizations with ICD L89899 - Pressure ulcer of other site, unspecified stage | 337 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L89899 - Pressure ulcer of other site, unspecified stage in DRG | 1.19 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD L89899 - Pressure ulcer of other site, unspecified stage | 7.79 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 24.26 | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 16.07 | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD L89899 - Pressure ulcer of other site, unspecified stage | $3,288,470 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD L89899 - Pressure ulcer of other site, unspecified stage | $1,252 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD L89899 - Pressure ulcer of other site, unspecified stage | $9,758 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $17,050,559 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD L89899 - Pressure ulcer of other site, unspecified stage | $50,595 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 3.26 | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 41.54 | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD L89899 - Pressure ulcer of other site, unspecified stage | 14.84 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ABBOTT NORTHWESTERN HOSPITAL | 800 E 28TH ST | MINNEAPOLIS | MN | 55407 | 79 |
| EINSTEIN MEDICAL CENTER PHILADELPHIA | 5501 OLD YORK RD | PHILA | PA | 19141 | 73 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 72 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. PIYUSH MITTAL | 3801 50TH ST | LUBBOCK | TX | 79413 | 17 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT WEISBERG | 857 MONTGOMERY AVE | NARBERTH | PA | 19072 | 33 |
| Dr. ROBERT C HARRIS | 3820 E 51ST ST | TULSA | OK | 74135 | 22 |
| Dr. FAISAL WASI | 905 NW 5TH ST | STIGLER | OK | 74462 | 19 |