*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone - as a primary diagnosis code | L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 9.02 | |
| Readmission Rate (%) | 29.03 | |
| Unplanned Readmission Rate (%) | 9.4 | |
| 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 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 32,775 | ||
| Total Hospitalizations with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 56 | ||
| DRG Share of Total Hospitalizations | 0.1 | ||
| % of Total ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone in DRG | 44.8 | ||
| Avg LOS at DRG | 4.93 | ||
| Avg LOS with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 5.96 | ||
| Readmission Rate at DRG | 16.64 | ||
| Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||
| Unplanned Readmission Rate at DRG | 9.37 | ||
| Unplanned Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||
| Total Medicare payments at DRG | $321,966,863 | ||
| Total Medicare payments with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $551,900 | ||
| Total Medicare payment per Day at DRG | $1,993 | ||
| Total Medicare payment per Day with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $1,652 | ||
| Total Medicare payment per Hospitalization at DRG | $9,824 | ||
| Total Medicare payment per Hospitalization with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $9,855 | ||
| Total Medicare Charges at DRG | $1,646,314,545 | ||
| Total Medicare Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $2,492,415 | ||
| Avg Charges at DRG | $50,231 | ||
| Avg Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $44,507 | ||
| Mortality Rate at DRG | 0.09 | ||
| Mortality Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||
| SNF Discharge Rate at DRG | 17.01 | ||
| SNF Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 39.29 | ||
| Home Discharge Rate at DRG | 43.69 | ||
| Home Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 25.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 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 | 38,029 | ||||
| Total Hospitalizations with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 1,626 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone in DRG | 19.95 | ||||
| Avg LOS at DRG | 7.14 | ||||
| Avg LOS with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 7.17 | ||||
| Readmission Rate at DRG | 23.6 | ||||
| Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 21.28 | ||||
| Unplanned Readmission Rate at DRG | 10.44 | ||||
| Unplanned Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 10.03 | ||||
| Total Medicare payments at DRG | $484,755,193 | ||||
| Total Medicare payments with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $21,345,922 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $1,831 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,747 | ||||
| Total Medicare payment per Hospitalization with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $13,128 | ||||
| Total Medicare Charges at DRG | $2,463,395,263 | ||||
| Total Medicare Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $105,158,367 | ||||
| Avg Charges at DRG | $64,777 | ||||
| Avg Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $64,673 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 26.57 | ||||
| SNF Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 25.15 | ||||
| Home Discharge Rate at DRG | 30.05 | ||||
| Home Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 28.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 504: FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 58,666 | ||||
| Total Hospitalizations with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 317 | ||||
| DRG Share of Total Hospitalizations | 0.18 | ||||
| % of Total ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone in DRG | 3.89 | ||||
| Avg LOS at DRG | 7.46 | ||||
| Avg LOS with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 8.53 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 29.67 | ||||
| Unplanned Readmission Rate at DRG | 12.47 | ||||
| Unplanned Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 14.67 | ||||
| Total Medicare payments at DRG | $868,457,018 | ||||
| Total Medicare payments with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $5,035,392 | ||||
| Total Medicare payment per Day at DRG | $1,984 | ||||
| Total Medicare payment per Day with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $1,863 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,803 | ||||
| Total Medicare payment per Hospitalization with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $15,885 | ||||
| Total Medicare Charges at DRG | $4,526,808,643 | ||||
| Total Medicare Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $27,511,404 | ||||
| Avg Charges at DRG | $77,162 | ||||
| Avg Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $86,787 | ||||
| Mortality Rate at DRG | 0.46 | ||||
| Mortality Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 26.05 | ||||
| SNF Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 31.55 | ||||
| Home Discharge Rate at DRG | 35.9 | ||||
| Home Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 19.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 256: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | 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) | DRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,476 | ||||
| Total Hospitalizations with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 183 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone in DRG | 2.25 | ||||
| Avg LOS at DRG | 6.13 | ||||
| Avg LOS with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 6.39 | ||||
| Readmission Rate at DRG | 26.45 | ||||
| Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 19.32 | ||||
| Unplanned Readmission Rate at DRG | 13.85 | ||||
| Unplanned Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 6.82 | ||||
| Total Medicare payments at DRG | $77,386,463 | ||||
| Total Medicare payments with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $1,960,863 | ||||
| Total Medicare payment per Day at DRG | $1,689 | ||||
| Total Medicare payment per Day with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $1,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,351 | ||||
| Total Medicare payment per Hospitalization with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $10,715 | ||||
| Total Medicare Charges at DRG | $387,249,275 | ||||
| Total Medicare Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $9,955,989 | ||||
| Avg Charges at DRG | $51,799 | ||||
| Avg Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $54,404 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 26.2 | ||||
| SNF Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 27.32 | ||||
| Home Discharge Rate at DRG | 31.49 | ||||
| Home Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 30.05 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 503: FOOT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 6,794 | ||||
| Total Hospitalizations with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 123 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone in DRG | 1.51 | ||||
| Avg LOS at DRG | 8.41 | ||||
| Avg LOS with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 8.45 | ||||
| Readmission Rate at DRG | 39.0 | ||||
| Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 30.09 | ||||
| Unplanned Readmission Rate at DRG | 23.06 | ||||
| Unplanned Readmission Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 15.04 | ||||
| Total Medicare payments at DRG | $111,368,499 | ||||
| Total Medicare payments with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $2,045,233 | ||||
| Total Medicare payment per Day at DRG | $1,948 | ||||
| Total Medicare payment per Day with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $1,968 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,392 | ||||
| Total Medicare payment per Hospitalization with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $16,628 | ||||
| Total Medicare Charges at DRG | $527,352,144 | ||||
| Total Medicare Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $8,550,448 | ||||
| Avg Charges at DRG | $77,620 | ||||
| Avg Charges with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | $69,516 | ||||
| Mortality Rate at DRG | 2.31 | ||||
| Mortality Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | NA | ||||
| SNF Discharge Rate at DRG | 27.07 | ||||
| SNF Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 21.95 | ||||
| Home Discharge Rate at DRG | 26.41 | ||||
| Home Discharge Rate with ICD L97524 - Non-pressure chronic ulcer of other part of left foot with necrosis of bone | 26.83 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MERCY SAN JUAN MEDICAL CENTER | 6501 COYLE AVE | CARMICHAEL | CA | 95608 | 43 |
| CHRISTIANA CARE WILMINGTON HOSPITAL | 501 W 14TH ST | WILMINGTON | DE | 19801 | 36 |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA | 28062 BAXTER RD | MURRIETA | CA | 92563 | 36 |
| 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 | 25 |
| Dr. ASHISH KAPILA | 3875 AUSTELL RD | AUSTELL | GA | 30106 | 23 |