*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin - as a primary diagnosis code | L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.72 | |
| Readmission Rate (%) | 33.17 | |
| Unplanned Readmission Rate (%) | 13.83 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 12,505 | |
| Total Hospitalizations with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 39 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin in DRG | 40.63 | |
| Avg LOS at DRG | 5.64 | |
| Avg LOS with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 6.1 | |
| Readmission Rate at DRG | 22.72 | |
| Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 29.73 | |
| Unplanned Readmission Rate at DRG | 14.28 | |
| Unplanned Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | |
| Total Medicare payments at DRG | $89,658,501 | |
| Total Medicare payments with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $248,435 | |
| Total Medicare payment per Day at DRG | $1,271 | |
| Total Medicare payment per Day with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,044 | |
| Total Medicare payment per Hospitalization at DRG | $7,170 | |
| Total Medicare payment per Hospitalization with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $6,370 | |
| Total Medicare Charges at DRG | $390,008,015 | |
| Total Medicare Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,191,781 | |
| Avg Charges at DRG | $31,188 | |
| Avg Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $30,558 | |
| Mortality Rate at DRG | 0.5 | |
| Mortality Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | |
| SNF Discharge Rate at DRG | 30.53 | |
| SNF Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | |
| Home Discharge Rate at DRG | 26.79 | |
| Home Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 38.46 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 491 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin in DRG | 7.5 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 5.6 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 27.38 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 17.19 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $3,107,119 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,129 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $6,328 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $16,288,681 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $33,175 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 22.4 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 34.62 |
*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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 88,795 | ||||
| Total Hospitalizations with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 201 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin in DRG | 3.07 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 6.88 | ||||
| Readmission Rate at DRG | 25.16 | ||||
| Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 35.53 | ||||
| Unplanned Readmission Rate at DRG | 13.58 | ||||
| Unplanned Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 16.75 | ||||
| Total Medicare payments at DRG | $1,520,761,343 | ||||
| Total Medicare payments with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $3,718,759 | ||||
| Total Medicare payment per Day at DRG | $3,209 | ||||
| Total Medicare payment per Day with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $2,691 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,127 | ||||
| Total Medicare payment per Hospitalization with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $18,501 | ||||
| Total Medicare Charges at DRG | $8,019,705,683 | ||||
| Total Medicare Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $20,731,788 | ||||
| Avg Charges at DRG | $90,317 | ||||
| Avg Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $103,143 | ||||
| Mortality Rate at DRG | 0.47 | ||||
| Mortality Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 20.42 | ||||
| SNF Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 38.81 | ||||
| Home Discharge Rate at DRG | 47.78 | ||||
| Home Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 28.36 |
*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 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 89,541 | ||||
| Total Hospitalizations with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 114 | ||||
| DRG Share of Total Hospitalizations | 0.27 | ||||
| % of Total ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin in DRG | 1.74 | ||||
| Avg LOS at DRG | 6.24 | ||||
| Avg LOS with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 7.04 | ||||
| Readmission Rate at DRG | 26.67 | ||||
| Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 28.57 | ||||
| Unplanned Readmission Rate at DRG | 18.76 | ||||
| Unplanned Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 19.05 | ||||
| Total Medicare payments at DRG | $856,155,421 | ||||
| Total Medicare payments with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,098,062 | ||||
| Total Medicare payment per Day at DRG | $1,533 | ||||
| Total Medicare payment per Day with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,369 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,562 | ||||
| Total Medicare payment per Hospitalization with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $9,632 | ||||
| Total Medicare Charges at DRG | $3,903,111,040 | ||||
| Total Medicare Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $5,791,724 | ||||
| Avg Charges at DRG | $43,590 | ||||
| Avg Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $50,805 | ||||
| Mortality Rate at DRG | 1.89 | ||||
| Mortality Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 27.48 | ||||
| SNF Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 25.44 | ||||
| Home Discharge Rate at DRG | 33.49 | ||||
| Home Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 19.3 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 90 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin in DRG | 1.37 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 8.38 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 34.52 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,318,194 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $1,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $14,647 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $6,646,314 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | $73,848 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 37.78 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD L97411 - Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin | 18.89 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| JOHN T. MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON | 75 N COUNTRY RD | PORT JEFFERSON | NY | 11777 | 26 |
| NYU WINTHROP HOSPITAL | 259 1ST ST | MINEOLA | NY | 11501 | 26 |
| CONCORD HOSPITAL | 250 PLEASANT ST | CONCORD | NH | 03301 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM J NAMEN | 1351 13TH AVENUE SOUTH | JACKSONVILLE BEACH | FL | 32250 | 13 |
| Dr. JOHN R DUDA | 3500 ARENDELL ST | MOREHEAD CITY | NC | 28557 | 11 |