*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L8990 - Pressure ulcer of unspecified site, unspecified stage - as a primary diagnosis code | L8990 - Pressure ulcer of unspecified site, unspecified stage - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.02 | |
| Readmission Rate (%) | 29.84 | |
| Unplanned Readmission Rate (%) | NA | |
| 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 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 24,286 | |
| Total Hospitalizations with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 32 | |
| DRG Share of Total Hospitalizations | 0.07 | |
| % of Total ICD L8990 - Pressure ulcer of unspecified site, unspecified stage in DRG | 47.76 | |
| Avg LOS at DRG | 12.57 | |
| Avg LOS with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 18.72 | |
| Readmission Rate at DRG | 30.43 | |
| Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | NA | |
| Unplanned Readmission Rate at DRG | 19.44 | |
| Unplanned Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | NA | |
| Total Medicare payments at DRG | $340,052,154 | |
| Total Medicare payments with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $724,307 | |
| Total Medicare payment per Day at DRG | $1,114 | |
| Total Medicare payment per Day with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $1,209 | |
| Total Medicare payment per Hospitalization at DRG | $14,002 | |
| Total Medicare payment per Hospitalization with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $22,635 | |
| Total Medicare Charges at DRG | $1,599,050,306 | |
| Total Medicare Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $2,821,177 | |
| Avg Charges at DRG | $65,842 | |
| Avg Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $88,162 | |
| Mortality Rate at DRG | 4.97 | |
| Mortality Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | NA | |
| SNF Discharge Rate at DRG | 39.28 | |
| SNF Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | NA | |
| Home Discharge Rate at DRG | 11.17 | |
| Home Discharge Rate with ICD L8990 - Pressure ulcer of unspecified 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 2,781 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L8990 - Pressure ulcer of unspecified site, unspecified stage in DRG | 18.05 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 6.8 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 29.28 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 20.06 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $33,255,838 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $1,757 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $11,958 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $185,623,630 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $66,747 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 20.21 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 34.41 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 8.41 |
*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 689: KIDNEY AND URINARY TRACT INFECTIONS 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 | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 350 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD L8990 - Pressure ulcer of unspecified site, unspecified stage in DRG | 2.27 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 5.12 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 21.9 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 16.51 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $2,379,085 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $1,327 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $6,797 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $14,249,873 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $40,714 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 4.86 | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 33.43 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 21.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 443,386 | ||||
| Total Hospitalizations with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 281 | ||||
| DRG Share of Total Hospitalizations | 1.35 | ||||
| % of Total ICD L8990 - Pressure ulcer of unspecified site, unspecified stage in DRG | 1.82 | ||||
| Avg LOS at DRG | 5.27 | ||||
| Avg LOS with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 6.5 | ||||
| Readmission Rate at DRG | 21.6 | ||||
| Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 27.42 | ||||
| Unplanned Readmission Rate at DRG | 15.91 | ||||
| Unplanned Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 21.77 | ||||
| Total Medicare payments at DRG | $3,812,834,208 | ||||
| Total Medicare payments with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $2,593,014 | ||||
| Total Medicare payment per Day at DRG | $1,632 | ||||
| Total Medicare payment per Day with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $1,419 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,599 | ||||
| Total Medicare payment per Hospitalization with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $9,228 | ||||
| Total Medicare Charges at DRG | $18,110,468,211 | ||||
| Total Medicare Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $14,966,065 | ||||
| Avg Charges at DRG | $40,846 | ||||
| Avg Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $53,260 | ||||
| Mortality Rate at DRG | 3.59 | ||||
| Mortality Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 8.9 | ||||
| SNF Discharge Rate at DRG | 22.57 | ||||
| SNF Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 38.08 | ||||
| Home Discharge Rate at DRG | 40.95 | ||||
| Home Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 18.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 181,637 | ||||
| Total Hospitalizations with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 198 | ||||
| DRG Share of Total Hospitalizations | 0.55 | ||||
| % of Total ICD L8990 - Pressure ulcer of unspecified site, unspecified stage in DRG | 1.28 | ||||
| Avg LOS at DRG | 7.0 | ||||
| Avg LOS with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 7.5 | ||||
| Readmission Rate at DRG | 32.53 | ||||
| Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 32.03 | ||||
| Unplanned Readmission Rate at DRG | 19.84 | ||||
| Unplanned Readmission Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 21.09 | ||||
| Total Medicare payments at DRG | $2,845,609,163 | ||||
| Total Medicare payments with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $3,243,373 | ||||
| Total Medicare payment per Day at DRG | $2,237 | ||||
| Total Medicare payment per Day with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $2,184 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,666 | ||||
| Total Medicare payment per Hospitalization with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $16,381 | ||||
| Total Medicare Charges at DRG | $14,794,146,746 | ||||
| Total Medicare Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $16,533,939 | ||||
| Avg Charges at DRG | $81,449 | ||||
| Avg Charges with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | $83,505 | ||||
| Mortality Rate at DRG | 25.14 | ||||
| Mortality Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 26.77 | ||||
| SNF Discharge Rate at DRG | 19.06 | ||||
| SNF Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 26.77 | ||||
| Home Discharge Rate at DRG | 20.69 | ||||
| Home Discharge Rate with ICD L8990 - Pressure ulcer of unspecified site, unspecified stage | 11.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE MOSES H. CONE MEMORIAL HOSPITAL | 1200 N ELM ST | GREENSBORO | NC | 27401 | 234 |
| HOAG MEMORIAL HOSPITAL PRESBYTERIAN | ONE HOAG DRIVE | NEWPORT BEACH | CA | 92663 | 181 |
| CENTINELA HOSPITAL MEDICAL CENTER | 555 E HARDY ST | INGLEWOOD | CA | 90301 | 110 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. HUBERT EMERY SIE | 1 HOAG DR | NEWPORT BEACH | CA | 92663 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. YAN PING ZHANG | 10942 RAMONA BLVD STE B | EL MONTE | CA | 91731 | 24 |
| Dr. DAVID L HARRISON | 1203 JEFFERSON ST | LAUREL | MS | 39440 | 21 |
| Dr. OLIVER M SOLOMON | 130 WEST ROUTE 66 | GLENDORA | CA | 91740 | 20 |