*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed - as a primary diagnosis code | L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.98 | |
| Readmission Rate (%) | 33.33 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 20,300 | |
| Total Hospitalizations with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 16 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed in DRG | 28.57 | |
| Avg LOS at DRG | 6.22 | |
| Avg LOS with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 5.13 | |
| Readmission Rate at DRG | 19.4 | |
| Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | |
| Unplanned Readmission Rate at DRG | 10.71 | |
| Unplanned Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | |
| Total Medicare payments at DRG | $190,603,062 | |
| Total Medicare payments with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $136,784 | |
| Total Medicare payment per Day at DRG | $1,509 | |
| Total Medicare payment per Day with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $1,668 | |
| Total Medicare payment per Hospitalization at DRG | $9,389 | |
| Total Medicare payment per Hospitalization with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $8,549 | |
| Total Medicare Charges at DRG | $1,002,015,148 | |
| Total Medicare Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $408,367 | |
| Avg Charges at DRG | $49,360 | |
| Avg Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $25,523 | |
| Mortality Rate at DRG | 0.12 | |
| Mortality Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | |
| SNF Discharge Rate at DRG | 25.08 | |
| SNF Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | |
| Home Discharge Rate at DRG | 30.6 | |
| Home Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 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 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 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) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 17,623 | ||||
| Total Hospitalizations with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 300 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed in DRG | 7.51 | ||||
| Avg LOS at DRG | 7.78 | ||||
| Avg LOS with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 8.36 | ||||
| Readmission Rate at DRG | 23.58 | ||||
| Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 24.91 | ||||
| Unplanned Readmission Rate at DRG | 13.65 | ||||
| Unplanned Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 15.57 | ||||
| Total Medicare payments at DRG | $226,801,356 | ||||
| Total Medicare payments with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $4,031,910 | ||||
| Total Medicare payment per Day at DRG | $1,655 | ||||
| Total Medicare payment per Day with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $1,608 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,870 | ||||
| Total Medicare payment per Hospitalization with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $13,440 | ||||
| Total Medicare Charges at DRG | $1,136,631,439 | ||||
| Total Medicare Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $20,038,258 | ||||
| Avg Charges at DRG | $64,497 | ||||
| Avg Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $66,794 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 24.31 | ||||
| SNF Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 33.67 | ||||
| Home Discharge Rate at DRG | 32.21 | ||||
| Home Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 24.0 |
*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 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 109 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed in DRG | 2.73 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 6.87 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 29.52 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 19.05 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $574,479 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $767 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $5,270 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $4,735,160 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $43,442 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 19.27 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 36.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 88 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed in DRG | 2.2 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 11.61 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 48.15 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 20.99 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $2,329,703 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $2,280 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $26,474 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $12,268,663 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $139,417 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 38.64 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 18.18 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH 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 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,687 | ||||
| Total Hospitalizations with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 62 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed in DRG | 1.55 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 8.69 | ||||
| Readmission Rate at DRG | 44.27 | ||||
| Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 40.0 | ||||
| Unplanned Readmission Rate at DRG | 12.34 | ||||
| Unplanned Readmission Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | ||||
| Total Medicare payments at DRG | $417,585,098 | ||||
| Total Medicare payments with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $1,118,306 | ||||
| Total Medicare payment per Day at DRG | $2,011 | ||||
| Total Medicare payment per Day with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $2,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,915 | ||||
| Total Medicare payment per Hospitalization with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $18,037 | ||||
| Total Medicare Charges at DRG | $2,030,361,518 | ||||
| Total Medicare Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $4,917,178 | ||||
| Avg Charges at DRG | $82,244 | ||||
| Avg Charges with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | $79,309 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 46.91 | ||||
| SNF Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | 45.16 | ||||
| Home Discharge Rate at DRG | 7.81 | ||||
| Home Discharge Rate with ICD L97412 - Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY HOSPITAL SPRINGFIELD | 1235 E CHEROKEE ST | SPRINGFIELD | MO | 65804 | 43 |
| SOUTHERN OHIO MEDICAL CENTER | 1805 27TH STREET | PORTSMOUTH | OH | 45662 | 29 |
| THE CHRIST HOSPITAL | 2139 AUBURN AVE | CINCINNATI | OH | 45219 | 26 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAN D PARK | 3231 S NATIONAL AVE | SPRINGFIELD | MO | 65807 | 14 |
| Dr. MATTHEW BABICH | 1151 N BUCKNER BLVD STE 304 | DALLAS | TX | 75218 | 13 |
| Dr. TIMOTHY J RANVAL | 1532 LONE OAK RD | PADUCAH | KY | 42003 | 11 |