*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle - as a primary diagnosis code | L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 10.85 | |
| Readmission Rate (%) | 38.36 | |
| 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 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 12,505 | |
| Total Hospitalizations with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 11 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle in DRG | 20.0 | |
| Avg LOS at DRG | 5.64 | |
| Avg LOS with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 9.64 | |
| Readmission Rate at DRG | 22.72 | |
| Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | |
| Unplanned Readmission Rate at DRG | 14.28 | |
| Unplanned Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | |
| Total Medicare payments at DRG | $89,658,501 | |
| Total Medicare payments with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $103,465 | |
| Total Medicare payment per Day at DRG | $1,271 | |
| Total Medicare payment per Day with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $976 | |
| Total Medicare payment per Hospitalization at DRG | $7,170 | |
| Total Medicare payment per Hospitalization with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $9,406 | |
| Total Medicare Charges at DRG | $390,008,015 | |
| Total Medicare Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $394,835 | |
| Avg Charges at DRG | $31,188 | |
| Avg Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $35,894 | |
| Mortality Rate at DRG | 0.5 | |
| Mortality Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | |
| SNF Discharge Rate at DRG | 30.53 | |
| SNF Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | |
| Home Discharge Rate at DRG | 26.79 | |
| Home Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 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 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) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 236 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle in DRG | 10.58 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 13.71 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 49.03 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 19.42 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $7,741,826 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $2,393 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $32,804 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $34,704,338 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $147,052 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 6.36 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 38.14 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 6.78 |
*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 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 95 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle in DRG | 4.26 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 5.86 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 32.93 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 21.95 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $672,558 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $1,207 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $7,080 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $3,526,216 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $37,118 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 16.84 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 26.32 |
*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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES 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 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 67 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle in DRG | 3.0 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 10.12 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 33.33 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $1,093,175 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $1,612 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $16,316 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $6,123,805 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $91,400 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 41.79 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 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 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,845 | ||||
| Total Hospitalizations with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 32 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle in DRG | 1.43 | ||||
| Avg LOS at DRG | 12.92 | ||||
| Avg LOS with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 18.38 | ||||
| Readmission Rate at DRG | 39.3 | ||||
| Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 57.14 | ||||
| Unplanned Readmission Rate at DRG | 17.73 | ||||
| Unplanned Readmission Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | ||||
| Total Medicare payments at DRG | $202,932,489 | ||||
| Total Medicare payments with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $953,955 | ||||
| Total Medicare payment per Day at DRG | $2,001 | ||||
| Total Medicare payment per Day with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $1,622 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,868 | ||||
| Total Medicare payment per Hospitalization with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $29,811 | ||||
| Total Medicare Charges at DRG | $961,606,240 | ||||
| Total Medicare Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $5,705,989 | ||||
| Avg Charges at DRG | $122,576 | ||||
| Avg Charges with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | $178,312 | ||||
| Mortality Rate at DRG | 3.43 | ||||
| Mortality Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA | ||||
| SNF Discharge Rate at DRG | 39.87 | ||||
| SNF Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | 46.88 | ||||
| Home Discharge Rate at DRG | 12.77 | ||||
| Home Discharge Rate with ICD L97423 - Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TEMPLE | 2401 S 31ST ST | TEMPLE | TX | 76508 | 15 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 14 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 14 |