*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin - as a primary diagnosis code | L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.3 | |
| Readmission Rate (%) | 29.86 | |
| Unplanned Readmission Rate (%) | 10.5 | |
| 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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 104 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin in DRG | 44.64 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 3.99 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 19.19 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 14.14 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $672,993 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $1,622 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $6,471 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $2,375,218 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $22,839 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 21.15 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 46.15 |
*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 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 1,108 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin in DRG | 7.52 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 4.75 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 23.07 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 15.54 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $6,550,229 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $1,245 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $5,912 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $35,261,207 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $31,824 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 16.79 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 43.59 |
*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 291: HEART FAILURE AND SHOCK 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 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) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 445 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin in DRG | 3.02 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 12.46 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 42.6 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 21.43 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $14,828,371 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $2,674 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $33,322 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $59,777,990 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $134,333 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 5.17 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 41.35 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 11.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 239: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE 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 | 99,785 | ||||
| Total Hospitalizations with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 305 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin in DRG | 2.07 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 5.31 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 35.36 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 19.29 | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $2,221,547 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $1,370 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $7,284 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $9,989,533 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $32,753 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 25.9 | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 34.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,274 | ||||
| Total Hospitalizations with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 176 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin in DRG | 1.19 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 7.56 | ||||
| Readmission Rate at DRG | 23.87 | ||||
| Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 37.87 | ||||
| Unplanned Readmission Rate at DRG | 12.97 | ||||
| Unplanned Readmission Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 16.57 | ||||
| Total Medicare payments at DRG | $829,251,141 | ||||
| Total Medicare payments with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $4,086,231 | ||||
| Total Medicare payment per Day at DRG | $3,840 | ||||
| Total Medicare payment per Day with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $3,070 | ||||
| Total Medicare payment per Hospitalization at DRG | $21,666 | ||||
| Total Medicare payment per Hospitalization with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $23,217 | ||||
| Total Medicare Charges at DRG | $4,499,731,580 | ||||
| Total Medicare Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $22,781,120 | ||||
| Avg Charges at DRG | $117,566 | ||||
| Avg Charges with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | $129,438 | ||||
| Mortality Rate at DRG | 2.17 | ||||
| Mortality Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 16.12 | ||||
| SNF Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 26.14 | ||||
| Home Discharge Rate at DRG | 50.94 | ||||
| Home Discharge Rate with ICD L97511 - Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin | 35.23 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 73 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 69 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 64 |
| 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 | 28 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. NASRULLAH GHAFOOR | 4466 SWILCAN BRIDGE LN N | JACKSONVILLE | FL | 32224 | 11 |
| Dr. DANIEL BUFF | 327 BEACH 19TH STREET | FAR ROCKAWAY | NY | 11691 | 11 |