*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin - as a primary diagnosis code | L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.48 | |
| Readmission Rate (%) | 29.46 | |
| Unplanned Readmission Rate (%) | 16.87 | |
| 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 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 117 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin in DRG | 44.15 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 4.91 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 28.07 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 19.3 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $810,419 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $1,412 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $6,927 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $2,596,795 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $22,195 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 14.53 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 48.72 |
*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 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 174,196 | ||||
| Total Hospitalizations with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 1,033 | ||||
| DRG Share of Total Hospitalizations | 0.53 | ||||
| % of Total ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin in DRG | 7.14 | ||||
| Avg LOS at DRG | 3.86 | ||||
| Avg LOS with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 4.69 | ||||
| Readmission Rate at DRG | 23.62 | ||||
| Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 21.53 | ||||
| Unplanned Readmission Rate at DRG | 17.61 | ||||
| Unplanned Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 15.44 | ||||
| Total Medicare payments at DRG | $959,872,570 | ||||
| Total Medicare payments with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $6,416,271 | ||||
| Total Medicare payment per Day at DRG | $1,426 | ||||
| Total Medicare payment per Day with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $1,323 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,510 | ||||
| Total Medicare payment per Hospitalization with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $6,211 | ||||
| Total Medicare Charges at DRG | $4,945,131,055 | ||||
| Total Medicare Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $30,279,185 | ||||
| Avg Charges at DRG | $28,388 | ||||
| Avg Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $29,312 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 14.83 | ||||
| SNF Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 16.75 | ||||
| Home Discharge Rate at DRG | 53.93 | ||||
| Home Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 47.82 |
*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 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,013,774 | ||||
| Total Hospitalizations with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 434 | ||||
| DRG Share of Total Hospitalizations | 3.08 | ||||
| % of Total ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin in DRG | 3.0 | ||||
| Avg LOS at DRG | 5.34 | ||||
| Avg LOS with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 6.68 | ||||
| Readmission Rate at DRG | 28.25 | ||||
| Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 32.74 | ||||
| Unplanned Readmission Rate at DRG | 21.93 | ||||
| Unplanned Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 23.79 | ||||
| Total Medicare payments at DRG | $9,469,067,156 | ||||
| Total Medicare payments with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $4,544,962 | ||||
| Total Medicare payment per Day at DRG | $1,751 | ||||
| Total Medicare payment per Day with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $1,568 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,340 | ||||
| Total Medicare payment per Hospitalization with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $10,472 | ||||
| Total Medicare Charges at DRG | $43,343,716,813 | ||||
| Total Medicare Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $22,324,823 | ||||
| Avg Charges at DRG | $42,755 | ||||
| Avg Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $51,440 | ||||
| Mortality Rate at DRG | 3.72 | ||||
| Mortality Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 4.84 | ||||
| SNF Discharge Rate at DRG | 20.84 | ||||
| SNF Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 26.04 | ||||
| Home Discharge Rate at DRG | 37.68 | ||||
| Home Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 27.19 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE 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 | 99,785 | ||||
| Total Hospitalizations with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 316 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin in DRG | 2.19 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 5.12 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 33.92 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 14.13 | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $2,298,737 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $1,421 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $7,274 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $10,449,816 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $33,069 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 23.42 | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 30.7 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 100,926 | ||||
| Total Hospitalizations with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 181 | ||||
| DRG Share of Total Hospitalizations | 0.31 | ||||
| % of Total ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin in DRG | 1.25 | ||||
| Avg LOS at DRG | 5.47 | ||||
| Avg LOS with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 7.72 | ||||
| Readmission Rate at DRG | 29.88 | ||||
| Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 27.11 | ||||
| Unplanned Readmission Rate at DRG | 23.17 | ||||
| Unplanned Readmission Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 20.48 | ||||
| Total Medicare payments at DRG | $916,940,883 | ||||
| Total Medicare payments with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $2,009,022 | ||||
| Total Medicare payment per Day at DRG | $1,661 | ||||
| Total Medicare payment per Day with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $1,438 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,085 | ||||
| Total Medicare payment per Hospitalization with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $11,100 | ||||
| Total Medicare Charges at DRG | $4,566,782,465 | ||||
| Total Medicare Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $9,468,872 | ||||
| Avg Charges at DRG | $45,249 | ||||
| Avg Charges with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | $52,314 | ||||
| Mortality Rate at DRG | 2.29 | ||||
| Mortality Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 23.51 | ||||
| SNF Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 24.86 | ||||
| Home Discharge Rate at DRG | 40.88 | ||||
| Home Discharge Rate with ICD L97521 - Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin | 30.94 |
| 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 | 71 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 57 |
| BAPTIST MEDICAL CENTER JACKSONVILLE | 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 57 |
| 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 | 17 |
| Dr. CHRISTOPHER JAMES GREEN | 13900 QUAILBROOK DR | OKLAHOMA CITY | OK | 73134 | 11 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. FAZAL G FAROQUI | 1 E ROE BLVD | PATCHOGUE | NY | 11772 | 13 |