*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone - as a primary diagnosis code | L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 11.58 | |
| Readmission Rate (%) | 38.64 | |
| 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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 373 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone in DRG | 11.73 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 15.72 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 48.66 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 19.88 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $13,244,214 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $2,258 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $35,507 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $59,025,625 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $158,246 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 5.63 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 45.31 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 4.56 |
*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 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 134 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone in DRG | 4.21 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 8.72 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 30.43 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 14.78 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $1,255,597 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $1,075 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $9,370 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $7,094,231 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $52,942 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 30.6 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 24.63 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,890 | ||||
| Total Hospitalizations with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 79 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone in DRG | 2.48 | ||||
| Avg LOS at DRG | 10.59 | ||||
| Avg LOS with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 16.39 | ||||
| Readmission Rate at DRG | 36.54 | ||||
| Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 37.5 | ||||
| Unplanned Readmission Rate at DRG | 24.18 | ||||
| Unplanned Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 18.06 | ||||
| Total Medicare payments at DRG | $238,209,359 | ||||
| Total Medicare payments with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $2,251,691 | ||||
| Total Medicare payment per Day at DRG | $2,274 | ||||
| Total Medicare payment per Day with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $1,739 | ||||
| Total Medicare payment per Hospitalization at DRG | $24,086 | ||||
| Total Medicare payment per Hospitalization with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $28,502 | ||||
| Total Medicare Charges at DRG | $1,169,040,084 | ||||
| Total Medicare Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $11,955,551 | ||||
| Avg Charges at DRG | $118,204 | ||||
| Avg Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $151,336 | ||||
| Mortality Rate at DRG | 3.83 | ||||
| Mortality Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 29.08 | ||||
| SNF Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 50.63 | ||||
| Home Discharge Rate at DRG | 33.43 | ||||
| Home Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 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 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 504: FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,580 | ||||
| Total Hospitalizations with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 57 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone in DRG | 1.79 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 7.6 | ||||
| Readmission Rate at DRG | 34.35 | ||||
| Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 41.82 | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | NA | ||||
| Total Medicare payments at DRG | $153,736,846 | ||||
| Total Medicare payments with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $724,852 | ||||
| Total Medicare payment per Day at DRG | $1,859 | ||||
| Total Medicare payment per Day with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $1,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,276 | ||||
| Total Medicare payment per Hospitalization with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $12,717 | ||||
| Total Medicare Charges at DRG | $761,013,502 | ||||
| Total Medicare Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $3,519,150 | ||||
| Avg Charges at DRG | $65,718 | ||||
| Avg Charges with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | $61,739 | ||||
| Mortality Rate at DRG | 0.14 | ||||
| Mortality Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 37.97 | ||||
| SNF Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | 38.6 | ||||
| Home Discharge Rate at DRG | 15.52 | ||||
| Home Discharge Rate with ICD L97414 - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 22 |
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 21 |
| MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL | 3800 RESERVOIR RD., NW | WASHINGTON | DC | 20007 | 20 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. XINGBO SUN | 3031 W MARCH LN | STOCKTON | CA | 95219 | 11 |