*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed - as a primary diagnosis code | L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.42 | |
| Readmission Rate (%) | 29.83 | |
| Unplanned Readmission Rate (%) | 13.19 | |
| 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 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||
| Total Hospitalizations with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 49 | ||
| DRG Share of Total Hospitalizations | 0.04 | ||
| % of Total ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed in DRG | 32.45 | ||
| Avg LOS at DRG | 5.64 | ||
| Avg LOS with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 4.41 | ||
| Readmission Rate at DRG | 22.72 | ||
| Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||
| Unplanned Readmission Rate at DRG | 14.28 | ||
| Unplanned Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||
| Total Medicare payments at DRG | $89,658,501 | ||
| Total Medicare payments with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $316,720 | ||
| Total Medicare payment per Day at DRG | $1,271 | ||
| Total Medicare payment per Day with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $1,466 | ||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||
| Total Medicare payment per Hospitalization with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $6,464 | ||
| Total Medicare Charges at DRG | $390,008,015 | ||
| Total Medicare Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $1,174,658 | ||
| Avg Charges at DRG | $31,188 | ||
| Avg Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $23,973 | ||
| Mortality Rate at DRG | 0.5 | ||
| Mortality Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||
| SNF Discharge Rate at DRG | 30.53 | ||
| SNF Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||
| Home Discharge Rate at DRG | 26.79 | ||
| Home Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 44.9 |
*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 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,029 | ||||
| Total Hospitalizations with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 454 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed in DRG | 6.44 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 6.9 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 22.25 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 9.86 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $5,599,612 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $1,787 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $12,334 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $26,641,934 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $58,683 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 25.99 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 33.26 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 291 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed in DRG | 4.13 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 4.16 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 17.78 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 11.48 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $1,564,739 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $1,292 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $5,377 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $6,971,968 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $23,959 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 16.15 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 46.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| 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 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | DRG 240: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 28,865 | ||||
| Total Hospitalizations with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 135 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed in DRG | 1.91 | ||||
| Avg LOS at DRG | 13.03 | ||||
| Avg LOS with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 13.07 | ||||
| Readmission Rate at DRG | 51.45 | ||||
| Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 54.62 | ||||
| Unplanned Readmission Rate at DRG | 19.42 | ||||
| Unplanned Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 13.85 | ||||
| Total Medicare payments at DRG | $870,378,024 | ||||
| Total Medicare payments with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $3,955,821 | ||||
| Total Medicare payment per Day at DRG | $2,314 | ||||
| Total Medicare payment per Day with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $2,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $30,153 | ||||
| Total Medicare payment per Hospitalization with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $29,302 | ||||
| Total Medicare Charges at DRG | $3,978,441,182 | ||||
| Total Medicare Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $16,125,876 | ||||
| Avg Charges at DRG | $137,829 | ||||
| Avg Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $119,451 | ||||
| Mortality Rate at DRG | 5.71 | ||||
| Mortality Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 45.97 | ||||
| SNF Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 38.52 | ||||
| Home Discharge Rate at DRG | 5.52 | ||||
| Home Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 637: DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,785 | ||||
| Total Hospitalizations with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 103 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed in DRG | 1.46 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 5.44 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 31.82 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 19.32 | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $697,445 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $1,245 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $6,771 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $3,434,665 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | $33,346 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | NA | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 26.21 | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD L97522 - Non-pressure chronic ulcer of other part of left foot with fat layer exposed | 29.13 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| UNION HOSPITAL | 659 BOULEVARD | DOVER | OH | 44622 | 53 |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | 155 MEMORIAL DR | PINEHURST | NC | 28374 | 50 |
| PALOS HEALTH | 12251 S 80TH AVE | PALOS HEIGHTS | IL | 60463 | 49 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JAMES E GEIGER | 7808 W COLLEGE DR | PALOS HEIGHTS | IL | 60463 | 17 |
| Dr. TIMOTHY J RANVAL | 1532 LONE OAK RD | PADUCAH | KY | 42003 | 16 |
| Dr. MATTHEW BABICH | 1151 N BUCKNER BLVD STE 304 | DALLAS | TX | 75218 | 14 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. LEONARDO IVAN VALENTIN | STREET # 2 KM. 49.5 NO. 46 | MANATI | PR | 00674 | 18 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | L03116 | Cellulitis of left lower limb |
| 2 | I10 | Essential (primary) hypertension |