*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L905 - Scar conditions and fibrosis of skin - as a primary diagnosis code | L905 - Scar conditions and fibrosis of skin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.11 | |
| Readmission Rate (%) | 21.47 | |
| Unplanned Readmission Rate (%) | 7.94 | |
| 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 578: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,640 | ||||
| Total Hospitalizations with ICD L905 - Scar conditions and fibrosis of skin | 103 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD L905 - Scar conditions and fibrosis of skin in DRG | 31.6 | ||||
| Avg LOS at DRG | 3.35 | ||||
| Avg LOS with ICD L905 - Scar conditions and fibrosis of skin | 3.34 | ||||
| Readmission Rate at DRG | 10.23 | ||||
| Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 17.82 | ||||
| Unplanned Readmission Rate at DRG | 4.76 | ||||
| Unplanned Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| Total Medicare payments at DRG | $33,274,297 | ||||
| Total Medicare payments with ICD L905 - Scar conditions and fibrosis of skin | $1,001,412 | ||||
| Total Medicare payment per Day at DRG | $2,726 | ||||
| Total Medicare payment per Day with ICD L905 - Scar conditions and fibrosis of skin | $2,911 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,141 | ||||
| Total Medicare payment per Hospitalization with ICD L905 - Scar conditions and fibrosis of skin | $9,722 | ||||
| Total Medicare Charges at DRG | $208,780,716 | ||||
| Total Medicare Charges with ICD L905 - Scar conditions and fibrosis of skin | $5,102,938 | ||||
| Avg Charges at DRG | $57,357 | ||||
| Avg Charges with ICD L905 - Scar conditions and fibrosis of skin | $49,543 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| SNF Discharge Rate at DRG | 12.42 | ||||
| SNF Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 11.65 | ||||
| Home Discharge Rate at DRG | 60.36 | ||||
| Home Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 60.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 576: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 1,585 | ||
| Total Hospitalizations with ICD L905 - Scar conditions and fibrosis of skin | 18 | ||
| DRG Share of Total Hospitalizations | 0.0 | ||
| % of Total ICD L905 - Scar conditions and fibrosis of skin in DRG | 5.52 | ||
| Avg LOS at DRG | 13.15 | ||
| Avg LOS with ICD L905 - Scar conditions and fibrosis of skin | 10.83 | ||
| Readmission Rate at DRG | 29.79 | ||
| Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||
| Unplanned Readmission Rate at DRG | 13.16 | ||
| Unplanned Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||
| Total Medicare payments at DRG | $59,792,363 | ||
| Total Medicare payments with ICD L905 - Scar conditions and fibrosis of skin | $800,671 | ||
| Total Medicare payment per Day at DRG | $2,868 | ||
| Total Medicare payment per Day with ICD L905 - Scar conditions and fibrosis of skin | $4,106 | ||
| Total Medicare payment per Hospitalization at DRG | $37,724 | ||
| Total Medicare payment per Hospitalization with ICD L905 - Scar conditions and fibrosis of skin | $44,482 | ||
| Total Medicare Charges at DRG | $261,481,477 | ||
| Total Medicare Charges with ICD L905 - Scar conditions and fibrosis of skin | $3,930,006 | ||
| Avg Charges at DRG | $164,973 | ||
| Avg Charges with ICD L905 - Scar conditions and fibrosis of skin | $218,334 | ||
| Mortality Rate at DRG | 4.67 | ||
| Mortality Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||
| SNF Discharge Rate at DRG | 33.25 | ||
| SNF Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||
| Home Discharge Rate at DRG | 21.58 | ||
| Home Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 66.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| DOCTORS HOSPITAL | 3651 WHEELER RD | AUGUSTA | GA | 30909 | 15 |
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 12 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JEREMY GOVERMAN | 55 FRUIT ST | BOSTON | MA | 02114 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 578: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 215,355 | ||||
| Total Hospitalizations with ICD L905 - Scar conditions and fibrosis of skin | 219 | ||||
| DRG Share of Total Hospitalizations | 0.66 | ||||
| % of Total ICD L905 - Scar conditions and fibrosis of skin in DRG | 2.71 | ||||
| Avg LOS at DRG | 3.28 | ||||
| Avg LOS with ICD L905 - Scar conditions and fibrosis of skin | 3.78 | ||||
| Readmission Rate at DRG | 16.7 | ||||
| Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 14.88 | ||||
| Unplanned Readmission Rate at DRG | 4.47 | ||||
| Unplanned Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| Total Medicare payments at DRG | $5,278,830,730 | ||||
| Total Medicare payments with ICD L905 - Scar conditions and fibrosis of skin | $5,262,081 | ||||
| Total Medicare payment per Day at DRG | $7,462 | ||||
| Total Medicare payment per Day with ICD L905 - Scar conditions and fibrosis of skin | $6,363 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,512 | ||||
| Total Medicare payment per Hospitalization with ICD L905 - Scar conditions and fibrosis of skin | $24,028 | ||||
| Total Medicare Charges at DRG | $25,567,888,167 | ||||
| Total Medicare Charges with ICD L905 - Scar conditions and fibrosis of skin | $25,716,660 | ||||
| Avg Charges at DRG | $118,724 | ||||
| Avg Charges with ICD L905 - Scar conditions and fibrosis of skin | $117,428 | ||||
| Mortality Rate at DRG | 0.03 | ||||
| Mortality Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| SNF Discharge Rate at DRG | 15.71 | ||||
| SNF Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 12.33 | ||||
| Home Discharge Rate at DRG | 51.89 | ||||
| Home Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 59.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD L905 - Scar conditions and fibrosis of skin | 154 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD L905 - Scar conditions and fibrosis of skin in DRG | 1.91 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD L905 - Scar conditions and fibrosis of skin | 16.29 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 33.1 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 15.17 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD L905 - Scar conditions and fibrosis of skin | $1,776,443 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD L905 - Scar conditions and fibrosis of skin | $708 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD L905 - Scar conditions and fibrosis of skin | $11,535 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD L905 - Scar conditions and fibrosis of skin | $6,912,853 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD L905 - Scar conditions and fibrosis of skin | $44,889 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 7.79 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 75.97 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) | DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,841 | ||||
| Total Hospitalizations with ICD L905 - Scar conditions and fibrosis of skin | 133 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD L905 - Scar conditions and fibrosis of skin in DRG | 1.65 | ||||
| Avg LOS at DRG | 4.57 | ||||
| Avg LOS with ICD L905 - Scar conditions and fibrosis of skin | 4.32 | ||||
| Readmission Rate at DRG | 13.03 | ||||
| Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 11.45 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 8.4 | ||||
| Total Medicare payments at DRG | $269,044,019 | ||||
| Total Medicare payments with ICD L905 - Scar conditions and fibrosis of skin | $1,407,146 | ||||
| Total Medicare payment per Day at DRG | $2,278 | ||||
| Total Medicare payment per Day with ICD L905 - Scar conditions and fibrosis of skin | $2,447 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,412 | ||||
| Total Medicare payment per Hospitalization with ICD L905 - Scar conditions and fibrosis of skin | $10,580 | ||||
| Total Medicare Charges at DRG | $1,525,494,373 | ||||
| Total Medicare Charges with ICD L905 - Scar conditions and fibrosis of skin | $8,359,897 | ||||
| Avg Charges at DRG | $59,034 | ||||
| Avg Charges with ICD L905 - Scar conditions and fibrosis of skin | $62,856 | ||||
| Mortality Rate at DRG | 0.15 | ||||
| Mortality Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| SNF Discharge Rate at DRG | 10.82 | ||||
| SNF Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| Home Discharge Rate at DRG | 68.14 | ||||
| Home Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 66.17 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD L905 - Scar conditions and fibrosis of skin | 85 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD L905 - Scar conditions and fibrosis of skin in DRG | 1.05 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD L905 - Scar conditions and fibrosis of skin | 4.92 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 19.51 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD L905 - Scar conditions and fibrosis of skin | 14.63 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD L905 - Scar conditions and fibrosis of skin | $603,376 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD L905 - Scar conditions and fibrosis of skin | $1,443 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD L905 - Scar conditions and fibrosis of skin | $7,099 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD L905 - Scar conditions and fibrosis of skin | $3,343,822 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD L905 - Scar conditions and fibrosis of skin | $39,339 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD L905 - Scar conditions and fibrosis of skin | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 24.71 | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD L905 - Scar conditions and fibrosis of skin | 47.06 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ORLANDO HEALTH ORLANDO REGIONAL MEDICAL CENTER | 1414 KUHL AVE | ORLANDO | FL | 32806 | 91 |
| UF HEALTH SHANDS HOSPITAL | 1600 SW ARCHER RD | GAINESVILLE | FL | 32610 | 76 |
| UPMC PRESBYTERIAN SHADYSIDE | 200 LOTHROP ST | PITTSBURGH | PA | 15213 | 71 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GEORGE DENOTO | 139 PLANDOME ROAD | MANHASSET | NY | 11030 | 32 |
| Dr. CYRUS ERIK ABBASCHIAN | 12230 COIT RD | DALLAS | TX | 75251 | 30 |
| Dr. RICHARD A. A. DAY | 1190 WESTWOOD DR | HAMILTON | MT | 59840 | 24 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. GEORGE DENOTO | 139 PLANDOME ROAD | MANHASSET | NY | 11030 | 30 |
| Dr. RICHARD A. A. DAY | 1190 WESTWOOD DR | HAMILTON | MT | 59840 | 24 |
| Dr. BRADLEY K VAUGHN | 3001 EDWARDS MILL RD | RALEIGH | NC | 27612 | 21 |