*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity - as a primary diagnosis code | L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.13 | |
| Readmission Rate (%) | 31.74 | |
| 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) | |
|---|---|
| Total Hospitalizations at DRG | 12,505 |
| Total Hospitalizations with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 16 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity in DRG | 32.0 |
| Avg LOS at DRG | 5.64 |
| Avg LOS with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 6.81 |
| Readmission Rate at DRG | 22.72 |
| Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA |
| Unplanned Readmission Rate at DRG | 14.28 |
| Unplanned Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA |
| Total Medicare payments at DRG | $89,658,501 |
| Total Medicare payments with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $158,231 |
| Total Medicare payment per Day at DRG | $1,271 |
| Total Medicare payment per Day with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $1,452 |
| Total Medicare payment per Hospitalization at DRG | $7,170 |
| Total Medicare payment per Hospitalization with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $9,889 |
| Total Medicare Charges at DRG | $390,008,015 |
| Total Medicare Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $719,496 |
| Avg Charges at DRG | $31,188 |
| Avg Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $44,969 |
| Mortality Rate at DRG | 0.5 |
| Mortality Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA |
| SNF Discharge Rate at DRG | 30.53 |
| SNF Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA |
| Home Discharge Rate at DRG | 26.79 |
| Home Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | 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 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 279 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity in DRG | 7.14 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 7.34 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 19.62 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 10.38 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $3,722,719 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $1,817 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $13,343 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $18,404,019 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $65,964 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 24.01 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 30.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 17,623 | ||||
| Total Hospitalizations with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 129 | ||||
| DRG Share of Total Hospitalizations | 0.05 | ||||
| % of Total ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity in DRG | 3.3 | ||||
| Avg LOS at DRG | 7.78 | ||||
| Avg LOS with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 6.9 | ||||
| Readmission Rate at DRG | 23.58 | ||||
| Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 28.81 | ||||
| Unplanned Readmission Rate at DRG | 13.65 | ||||
| Unplanned Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 22.88 | ||||
| Total Medicare payments at DRG | $226,801,356 | ||||
| Total Medicare payments with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $1,578,810 | ||||
| Total Medicare payment per Day at DRG | $1,655 | ||||
| Total Medicare payment per Day with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $1,774 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,870 | ||||
| Total Medicare payment per Hospitalization with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $12,239 | ||||
| Total Medicare Charges at DRG | $1,136,631,439 | ||||
| Total Medicare Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $7,189,621 | ||||
| Avg Charges at DRG | $64,497 | ||||
| Avg Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $55,733 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 24.31 | ||||
| SNF Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 31.01 | ||||
| Home Discharge Rate at DRG | 32.21 | ||||
| Home Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 27.91 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 88 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity in DRG | 2.25 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 8.31 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 46.75 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 35.06 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $973,449 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $1,332 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $11,062 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $6,036,588 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $68,598 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 31.82 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 22.73 |
*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 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,845 | ||||
| Total Hospitalizations with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 61 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity in DRG | 1.56 | ||||
| Avg LOS at DRG | 12.92 | ||||
| Avg LOS with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 12.82 | ||||
| Readmission Rate at DRG | 39.3 | ||||
| Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 42.37 | ||||
| Unplanned Readmission Rate at DRG | 17.73 | ||||
| Unplanned Readmission Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA | ||||
| Total Medicare payments at DRG | $202,932,489 | ||||
| Total Medicare payments with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $1,577,239 | ||||
| Total Medicare payment per Day at DRG | $2,001 | ||||
| Total Medicare payment per Day with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $2,017 | ||||
| Total Medicare payment per Hospitalization at DRG | $25,868 | ||||
| Total Medicare payment per Hospitalization with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $25,856 | ||||
| Total Medicare Charges at DRG | $961,606,240 | ||||
| Total Medicare Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $6,285,329 | ||||
| Avg Charges at DRG | $122,576 | ||||
| Avg Charges with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | $103,038 | ||||
| Mortality Rate at DRG | 3.43 | ||||
| Mortality Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA | ||||
| SNF Discharge Rate at DRG | 39.87 | ||||
| SNF Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | 40.98 | ||||
| Home Discharge Rate at DRG | 12.77 | ||||
| Home Discharge Rate with ICD L97518 - Non-pressure chronic ulcer of other part of right foot with other specified severity | NA |
| 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 | 30 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 28 |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN | 2525 KINGS HWY | BROOKLYN | NY | 11229 | 24 |