*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone - as a primary diagnosis code | L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.92 | |
| Readmission Rate (%) | 28.98 | |
| Unplanned Readmission Rate (%) | 16.03 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 32,775 | ||
| Total Hospitalizations with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 53 | ||
| DRG Share of Total Hospitalizations | 0.1 | ||
| % of Total ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone in DRG | 32.32 | ||
| Avg LOS at DRG | 4.93 | ||
| Avg LOS with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 6.21 | ||
| Readmission Rate at DRG | 16.64 | ||
| Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||
| Unplanned Readmission Rate at DRG | 9.37 | ||
| Unplanned Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||
| Total Medicare payments at DRG | $321,966,863 | ||
| Total Medicare payments with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $533,414 | ||
| Total Medicare payment per Day at DRG | $1,993 | ||
| Total Medicare payment per Day with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $1,621 | ||
| Total Medicare payment per Hospitalization at DRG | $9,824 | ||
| Total Medicare payment per Hospitalization with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $10,064 | ||
| Total Medicare Charges at DRG | $1,646,314,545 | ||
| Total Medicare Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $2,695,407 | ||
| Avg Charges at DRG | $50,231 | ||
| Avg Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $50,857 | ||
| Mortality Rate at DRG | 0.09 | ||
| Mortality Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||
| SNF Discharge Rate at DRG | 17.01 | ||
| SNF Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||
| Home Discharge Rate at DRG | 43.69 | ||
| Home Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 32.08 |
*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 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 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 | 38,029 | ||||
| Total Hospitalizations with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 1,837 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone in DRG | 20.58 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 6.82 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 19.81 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 9.56 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $23,567,716 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $1,880 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $12,829 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $109,591,030 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $59,658 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 25.31 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 33.91 |
*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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 504: FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,687 | ||||
| Total Hospitalizations with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 370 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone in DRG | 4.14 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 9.73 | ||||
| Readmission Rate at DRG | 44.27 | ||||
| Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 39.5 | ||||
| Unplanned Readmission Rate at DRG | 12.34 | ||||
| Unplanned Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 13.17 | ||||
| Total Medicare payments at DRG | $417,585,098 | ||||
| Total Medicare payments with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $6,816,795 | ||||
| Total Medicare payment per Day at DRG | $2,011 | ||||
| Total Medicare payment per Day with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $1,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,915 | ||||
| Total Medicare payment per Hospitalization with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $18,424 | ||||
| Total Medicare Charges at DRG | $2,030,361,518 | ||||
| Total Medicare Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $35,388,349 | ||||
| Avg Charges at DRG | $82,244 | ||||
| Avg Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $95,644 | ||||
| Mortality Rate at DRG | 0.45 | ||||
| Mortality Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 46.91 | ||||
| SNF Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 43.24 | ||||
| Home Discharge Rate at DRG | 7.81 | ||||
| Home Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 9.19 |
*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 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 115,984 | ||||
| Total Hospitalizations with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 215 | ||||
| DRG Share of Total Hospitalizations | 0.35 | ||||
| % of Total ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone in DRG | 2.41 | ||||
| Avg LOS at DRG | 7.52 | ||||
| Avg LOS with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 10.87 | ||||
| Readmission Rate at DRG | 33.13 | ||||
| Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 42.5 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 21.5 | ||||
| Total Medicare payments at DRG | $2,639,352,445 | ||||
| Total Medicare payments with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $5,298,530 | ||||
| Total Medicare payment per Day at DRG | $3,027 | ||||
| Total Medicare payment per Day with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $2,266 | ||||
| Total Medicare payment per Hospitalization at DRG | $22,756 | ||||
| Total Medicare payment per Hospitalization with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $24,644 | ||||
| Total Medicare Charges at DRG | $12,757,805,634 | ||||
| Total Medicare Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $32,065,691 | ||||
| Avg Charges at DRG | $109,996 | ||||
| Avg Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $149,143 | ||||
| Mortality Rate at DRG | 4.68 | ||||
| Mortality Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 20.97 | ||||
| SNF Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 35.35 | ||||
| Home Discharge Rate at DRG | 44.26 | ||||
| Home Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 20.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 503: FOOT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 34,505 | ||||
| Total Hospitalizations with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 141 | ||||
| DRG Share of Total Hospitalizations | 0.1 | ||||
| % of Total ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone in DRG | 1.58 | ||||
| Avg LOS at DRG | 7.5 | ||||
| Avg LOS with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 10.06 | ||||
| Readmission Rate at DRG | 24.13 | ||||
| Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 25.19 | ||||
| Unplanned Readmission Rate at DRG | 9.59 | ||||
| Unplanned Readmission Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 14.81 | ||||
| Total Medicare payments at DRG | $661,706,701 | ||||
| Total Medicare payments with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $2,706,662 | ||||
| Total Medicare payment per Day at DRG | $2,559 | ||||
| Total Medicare payment per Day with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $1,909 | ||||
| Total Medicare payment per Hospitalization at DRG | $19,177 | ||||
| Total Medicare payment per Hospitalization with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $19,196 | ||||
| Total Medicare Charges at DRG | $3,132,931,207 | ||||
| Total Medicare Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $11,912,678 | ||||
| Avg Charges at DRG | $90,796 | ||||
| Avg Charges with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | $84,487 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 38.89 | ||||
| SNF Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 31.21 | ||||
| Home Discharge Rate at DRG | 17.15 | ||||
| Home Discharge Rate with ICD L97514 - Non-pressure chronic ulcer of other part of right foot with necrosis of bone | 12.77 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AURORA ST. LUKE'S MEDICAL CENTER | 2900 W OKLAHOMA AVE | MILWAUKEE | WI | 53215 | 51 |
| MERCY SAN JUAN MEDICAL CENTER | 6501 COYLE AVE | CARMICHAEL | CA | 95608 | 49 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 42 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. XINGBO SUN | 3031 W MARCH LN | STOCKTON | CA | 95219 | 28 |
| Dr. BYUNGHEE KEVIN KIM | 1915 BISHOP LN | LOUISVILLE | KY | 40218 | 19 |
| Dr. ASHISH KAPILA | 3875 AUSTELL RD | AUSTELL | GA | 30106 | 18 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ASHAR LUQMAN | 600 4TH STREET | SIOUX CITY | IA | 51101 | 16 |
| Dr. GERALD B HOGSETTE | 3333 SILAS CREEK PKWY | WINSTON SALEM | NC | 27103 | 12 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | I10 | Essential (primary) hypertension |