*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity - as a primary diagnosis code | L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.08 | |
| Readmission Rate (%) | 30.55 | |
| Unplanned Readmission Rate (%) | 15.55 | |
| 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) | DRG 594: SKIN ULCERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 12,505 | ||||
| Total Hospitalizations with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 281 | ||||
| DRG Share of Total Hospitalizations | 0.04 | ||||
| % of Total ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity in DRG | 40.43 | ||||
| Avg LOS at DRG | 5.64 | ||||
| Avg LOS with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 5.11 | ||||
| Readmission Rate at DRG | 22.72 | ||||
| Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 24.81 | ||||
| Unplanned Readmission Rate at DRG | 14.28 | ||||
| Unplanned Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 14.89 | ||||
| Total Medicare payments at DRG | $89,658,501 | ||||
| Total Medicare payments with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,825,007 | ||||
| Total Medicare payment per Day at DRG | $1,271 | ||||
| Total Medicare payment per Day with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,270 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,170 | ||||
| Total Medicare payment per Hospitalization with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $6,495 | ||||
| Total Medicare Charges at DRG | $390,008,015 | ||||
| Total Medicare Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $8,307,318 | ||||
| Avg Charges at DRG | $31,188 | ||||
| Avg Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $29,563 | ||||
| Mortality Rate at DRG | 0.5 | ||||
| Mortality Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | NA | ||||
| SNF Discharge Rate at DRG | 30.53 | ||||
| SNF Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 22.06 | ||||
| Home Discharge Rate at DRG | 26.79 | ||||
| Home Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 34.88 |
*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 579: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 574: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 32,775 | ||
| Total Hospitalizations with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 31 | ||
| DRG Share of Total Hospitalizations | 0.1 | ||
| % of Total ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity in DRG | 4.46 | ||
| Avg LOS at DRG | 4.93 | ||
| Avg LOS with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 5.06 | ||
| Readmission Rate at DRG | 16.64 | ||
| Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | NA | ||
| Unplanned Readmission Rate at DRG | 9.37 | ||
| Unplanned Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | NA | ||
| Total Medicare payments at DRG | $321,966,863 | ||
| Total Medicare payments with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $341,848 | ||
| Total Medicare payment per Day at DRG | $1,993 | ||
| Total Medicare payment per Day with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $2,177 | ||
| Total Medicare payment per Hospitalization at DRG | $9,824 | ||
| Total Medicare payment per Hospitalization with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $11,027 | ||
| Total Medicare Charges at DRG | $1,646,314,545 | ||
| Total Medicare Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,327,363 | ||
| Avg Charges at DRG | $50,231 | ||
| Avg Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $42,818 | ||
| Mortality Rate at DRG | 0.09 | ||
| Mortality Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | NA | ||
| SNF Discharge Rate at DRG | 17.01 | ||
| SNF Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | NA | ||
| Home Discharge Rate at DRG | 43.69 | ||
| Home Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified 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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 252: OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | 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 | 1,808,415 | ||||
| Total Hospitalizations with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 2,946 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity in DRG | 8.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 7.48 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 31.68 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 21.27 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $36,934,815 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,677 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $12,537 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $191,660,318 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $65,058 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 13.65 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 32.11 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 15.72 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 885: PSYCHOSES | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 775 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity in DRG | 2.25 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 13.86 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 42.53 | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 21.42 | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $25,712,255 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $2,393 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $33,177 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $115,471,575 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $148,996 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 11.61 | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 39.23 | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 9.68 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 459 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity in DRG | 1.33 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 11.4 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 35.17 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 23.1 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $6,939,122 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,326 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $15,118 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $37,468,348 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $81,630 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 8.5 | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 28.76 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 21.57 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 253: OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 474,314 | ||||
| Total Hospitalizations with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 364 | ||||
| DRG Share of Total Hospitalizations | 1.44 | ||||
| % of Total ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity in DRG | 1.06 | ||||
| Avg LOS at DRG | 3.53 | ||||
| Avg LOS with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 4.4 | ||||
| Readmission Rate at DRG | 18.03 | ||||
| Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 22.22 | ||||
| Unplanned Readmission Rate at DRG | 12.55 | ||||
| Unplanned Readmission Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 15.1 | ||||
| Total Medicare payments at DRG | $2,312,733,090 | ||||
| Total Medicare payments with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,946,973 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $1,216 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,876 | ||||
| Total Medicare payment per Hospitalization with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $5,349 | ||||
| Total Medicare Charges at DRG | $11,559,952,314 | ||||
| Total Medicare Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $10,551,947 | ||||
| Avg Charges at DRG | $24,372 | ||||
| Avg Charges with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | $28,989 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | NA | ||||
| SNF Discharge Rate at DRG | 25.96 | ||||
| SNF Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 38.46 | ||||
| Home Discharge Rate at DRG | 43.58 | ||||
| Home Discharge Rate with ICD L98499 - Non-pressure chronic ulcer of skin of other sites with unspecified severity | 25.55 |
| 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 | 114 |
| MONTEFIORE MEDICAL CENTER | 111 E 210TH ST | BRONX | NY | 10467 | 103 |
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 102 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. WILLIAM GREGORY MORGAN | 1705 RENAISSANCE BLVD | EDMOND | OK | 73013 | 32 |
| Dr. DAVID EMMIT ALLIE | 2730 AMBASSADOR CAFFERY PKWY | LAFAYETTE | LA | 70506 | 15 |
| Dr. ROBERT C HARRIS | 3820 E 51ST ST | TULSA | OK | 74135 | 13 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. RAKESH SHRIVASTAVA | 3400 S DOUGLAS BLVD | OKLAHOMA CITY | OK | 73150 | 33 |
| Dr. SHATISHKUMAR Y PATEL | 8200 WEDNESBURY LN | HOUSTON | TX | 77074 | 27 |
| Dr. ROBERT C HARRIS | 3820 E 51ST ST | TULSA | OK | 74135 | 24 |