*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin - as a primary diagnosis code | L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.05 | |
| Readmission Rate (%) | 27.49 | |
| Unplanned Readmission Rate (%) | 7.59 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||
| Total Hospitalizations with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 100 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin in DRG | 59.17 | ||
| Avg LOS at DRG | 5.64 | ||
| Avg LOS with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 5.46 | ||
| Readmission Rate at DRG | 22.72 | ||
| Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 14.58 | ||
| Unplanned Readmission Rate at DRG | 14.28 | ||
| Unplanned Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||
| Total Medicare payments at DRG | $89,658,501 | ||
| Total Medicare payments with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $673,053 | ||
| Total Medicare payment per Day at DRG | $1,271 | ||
| Total Medicare payment per Day with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $1,233 | ||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||
| Total Medicare payment per Hospitalization with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $6,731 | ||
| Total Medicare Charges at DRG | $390,008,015 | ||
| Total Medicare Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $3,037,549 | ||
| Avg Charges at DRG | $31,188 | ||
| Avg Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $30,375 | ||
| Mortality Rate at DRG | 0.5 | ||
| Mortality Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||
| SNF Discharge Rate at DRG | 30.53 | ||
| SNF Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 33.0 | ||
| Home Discharge Rate at DRG | 26.79 | ||
| Home Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 25.0 |
*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 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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 651 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin in DRG | 14.1 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 4.93 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 17.85 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 12.86 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $3,702,278 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $1,154 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $5,687 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $17,626,849 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $27,077 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 26.73 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 32.87 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 422,757 | ||||
| Total Hospitalizations with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 160 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin in DRG | 3.46 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 5.74 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 22.52 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 16.56 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $1,203,547 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $1,310 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $7,522 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $5,278,843 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $32,993 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 26.25 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 34.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,449 | ||||
| Total Hospitalizations with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 89 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin in DRG | 1.93 | ||||
| Avg LOS at DRG | 10.01 | ||||
| Avg LOS with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 11.11 | ||||
| Readmission Rate at DRG | 31.36 | ||||
| Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 29.11 | ||||
| Unplanned Readmission Rate at DRG | 20.04 | ||||
| Unplanned Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 13.92 | ||||
| Total Medicare payments at DRG | $793,793,345 | ||||
| Total Medicare payments with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $2,038,678 | ||||
| Total Medicare payment per Day at DRG | $2,118 | ||||
| Total Medicare payment per Day with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $2,061 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,197 | ||||
| Total Medicare payment per Hospitalization with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $22,906 | ||||
| Total Medicare Charges at DRG | $3,956,370,459 | ||||
| Total Medicare Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $8,442,482 | ||||
| Avg Charges at DRG | $105,647 | ||||
| Avg Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $94,859 | ||||
| Mortality Rate at DRG | 5.33 | ||||
| Mortality Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 23.77 | ||||
| SNF Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 48.31 | ||||
| Home Discharge Rate at DRG | 33.21 | ||||
| Home Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,795 | ||||
| Total Hospitalizations with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 55 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 11.55 | ||||
| Readmission Rate at DRG | 25.16 | ||||
| Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||||
| Unplanned Readmission Rate at DRG | 13.58 | ||||
| Unplanned Readmission Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||||
| Total Medicare payments at DRG | $1,520,761,343 | ||||
| Total Medicare payments with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $1,100,164 | ||||
| Total Medicare payment per Day at DRG | $3,209 | ||||
| Total Medicare payment per Day with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $1,733 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,127 | ||||
| Total Medicare payment per Hospitalization with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $20,003 | ||||
| Total Medicare Charges at DRG | $8,019,705,683 | ||||
| Total Medicare Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $5,934,569 | ||||
| Avg Charges at DRG | $90,317 | ||||
| Avg Charges with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | $107,901 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 20.42 | ||||
| SNF Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 32.73 | ||||
| Home Discharge Rate at DRG | 47.78 | ||||
| Home Discharge Rate with ICD L97221 - Non-pressure chronic ulcer of left calf limited to breakdown of skin | 30.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| LAKELAND REGIONAL MEDICAL CENTER | 1324 LAKELAND HILLS BLVD | LAKELAND | FL | 33805 | 31 |
| LICKING MEMORIAL HOSPITAL | 1320 W MAIN ST | NEWARK | OH | 43055 | 27 |
| ST. ALEXIUS HOSPITAL | 3933 S BROADWAY | SAINT LOUIS | MO | 63118 | 27 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. SHAWN MICHAEL GAO | 3535 S JEFFERSON AVE | SAINT LOUIS | MO | 63118 | 13 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | L03116 | Cellulitis of left lower limb |
| 2 | I10 | Essential (primary) hypertension |