*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin - as a primary diagnosis code | L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.46 | |
| Readmission Rate (%) | 26.89 | |
| 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) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 12,505 | |
| Total Hospitalizations with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 68 | |
| DRG Share of Total Hospitalizations | 0.04 | |
| % of Total ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin in DRG | 61.82 | |
| Avg LOS at DRG | 5.64 | |
| Avg LOS with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 4.72 | |
| Readmission Rate at DRG | 22.72 | |
| Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 20.31 | |
| Unplanned Readmission Rate at DRG | 14.28 | |
| Unplanned Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | NA | |
| Total Medicare payments at DRG | $89,658,501 | |
| Total Medicare payments with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $465,332 | |
| Total Medicare payment per Day at DRG | $1,271 | |
| Total Medicare payment per Day with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $1,450 | |
| Total Medicare payment per Hospitalization at DRG | $7,170 | |
| Total Medicare payment per Hospitalization with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $6,843 | |
| Total Medicare Charges at DRG | $390,008,015 | |
| Total Medicare Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $1,773,474 | |
| Avg Charges at DRG | $31,188 | |
| Avg Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $26,081 | |
| Mortality Rate at DRG | 0.5 | |
| Mortality Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | NA | |
| SNF Discharge Rate at DRG | 30.53 | |
| SNF Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 19.12 | |
| Home Discharge Rate at DRG | 26.79 | |
| Home Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 33.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 364,421 | ||||
| Total Hospitalizations with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 693 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin in DRG | 12.4 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 4.98 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 16.89 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 9.8 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $4,020,510 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $1,166 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $5,802 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $19,673,355 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $28,389 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 30.3 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 30.74 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 99,785 | ||||
| Total Hospitalizations with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 158 | ||||
| DRG Share of Total Hospitalizations | 0.3 | ||||
| % of Total ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin in DRG | 2.83 | ||||
| Avg LOS at DRG | 4.3 | ||||
| Avg LOS with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 6.47 | ||||
| Readmission Rate at DRG | 22.77 | ||||
| Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 16.45 | ||||
| Unplanned Readmission Rate at DRG | 14.7 | ||||
| Unplanned Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 9.87 | ||||
| Total Medicare payments at DRG | $659,836,825 | ||||
| Total Medicare payments with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $1,212,240 | ||||
| Total Medicare payment per Day at DRG | $1,539 | ||||
| Total Medicare payment per Day with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $1,186 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,613 | ||||
| Total Medicare payment per Hospitalization with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $7,672 | ||||
| Total Medicare Charges at DRG | $3,175,774,884 | ||||
| Total Medicare Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $5,333,170 | ||||
| Avg Charges at DRG | $31,826 | ||||
| Avg Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $33,754 | ||||
| Mortality Rate at DRG | 1.42 | ||||
| Mortality Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 19.41 | ||||
| SNF Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 32.91 | ||||
| Home Discharge Rate at DRG | 44.09 | ||||
| Home Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 24.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 105 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin in DRG | 1.88 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 14.16 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 31.82 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 15.91 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $3,727,996 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $2,507 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $35,505 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $17,692,776 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $168,503 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 12.38 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 34.29 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 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 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 377: G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 535,322 | ||||
| Total Hospitalizations with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 52 | ||||
| DRG Share of Total Hospitalizations | 1.63 | ||||
| % of Total ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin in DRG | 0.93 | ||||
| Avg LOS at DRG | 4.68 | ||||
| Avg LOS with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 6.5 | ||||
| Readmission Rate at DRG | 23.65 | ||||
| Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 27.08 | ||||
| Unplanned Readmission Rate at DRG | 18.66 | ||||
| Unplanned Readmission Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | NA | ||||
| Total Medicare payments at DRG | $3,844,806,408 | ||||
| Total Medicare payments with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $508,134 | ||||
| Total Medicare payment per Day at DRG | $1,536 | ||||
| Total Medicare payment per Day with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $1,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,182 | ||||
| Total Medicare payment per Hospitalization with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $9,772 | ||||
| Total Medicare Charges at DRG | $19,258,468,078 | ||||
| Total Medicare Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $2,619,331 | ||||
| Avg Charges at DRG | $35,975 | ||||
| Avg Charges with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | $50,372 | ||||
| Mortality Rate at DRG | 1.27 | ||||
| Mortality Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | NA | ||||
| SNF Discharge Rate at DRG | 14.61 | ||||
| SNF Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 30.77 | ||||
| Home Discharge Rate at DRG | 52.12 | ||||
| Home Discharge Rate with ICD L97911 - Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin | 23.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SPECTRUM HEALTH BUTTERWORTH HOSPITAL | 100 MICHIGAN ST NE | GRAND RAPIDS | MI | 49503 | 29 |
| METHODIST UNIVERSITY HOSPITAL | 1265 UNION AVE | MEMPHIS | TN | 38104 | 25 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 23 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | L97921 | Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin |
| 2 | L03115 | Cellulitis of right lower limb |
| 3 | I10 | Essential (primary) hypertension |