*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity - as a primary diagnosis code | L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.73 | |
| Readmission Rate (%) | 34.49 | |
| 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 120 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity in DRG | 7.19 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 12.88 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 49.5 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 24.75 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $4,015,688 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $2,599 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $33,464 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $16,340,951 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $136,175 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 41.67 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES 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 | 38,029 | ||||
| Total Hospitalizations with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 43 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity in DRG | 2.58 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 8.47 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $589,330 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $1,619 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $13,705 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $3,109,242 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $72,308 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 39.53 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 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 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 15,548 | ||||
| Total Hospitalizations with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 36 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity in DRG | 2.16 | ||||
| Avg LOS at DRG | 7.55 | ||||
| Avg LOS with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 7.19 | ||||
| Readmission Rate at DRG | 25.61 | ||||
| Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| Unplanned Readmission Rate at DRG | 13.93 | ||||
| Unplanned Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| Total Medicare payments at DRG | $225,408,950 | ||||
| Total Medicare payments with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $531,299 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $2,051 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,498 | ||||
| Total Medicare payment per Hospitalization with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $14,758 | ||||
| Total Medicare Charges at DRG | $1,165,672,078 | ||||
| Total Medicare Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $2,627,537 | ||||
| Avg Charges at DRG | $74,972 | ||||
| Avg Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $72,987 | ||||
| Mortality Rate at DRG | 0.19 | ||||
| Mortality Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 27.84 | ||||
| SNF Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 41.67 | ||||
| Home Discharge Rate at DRG | 27.39 | ||||
| Home Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 28 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity in DRG | 1.68 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 11.5 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | 52.0 | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $479,202 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $1,488 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $17,114 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $2,486,017 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | $88,786 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD L97418 - Non-pressure chronic ulcer of right heel and midfoot with other specified severity | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE | MANHASSET | NY | 11030 | 12 |
| TULANE MEDICAL CENTER | 1415 TULANE AVE | NEW ORLEANS | LA | 70112 | 11 |