*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| R238 - Other skin changes - as a primary diagnosis code | R238 - Other skin changes - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.66 | |
| Readmission Rate (%) | 27.23 | |
| Unplanned Readmission Rate (%) | 22.3 | |
| 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 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 606: MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 19,754 | |
| Total Hospitalizations with ICD R238 - Other skin changes | 113 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD R238 - Other skin changes in DRG | 68.9 | |
| Avg LOS at DRG | 3.82 | |
| Avg LOS with ICD R238 - Other skin changes | 3.06 | |
| Readmission Rate at DRG | 19.14 | |
| Readmission Rate with ICD R238 - Other skin changes | 24.04 | |
| Unplanned Readmission Rate at DRG | 13.41 | |
| Unplanned Readmission Rate with ICD R238 - Other skin changes | 18.27 | |
| Total Medicare payments at DRG | $103,585,947 | |
| Total Medicare payments with ICD R238 - Other skin changes | $561,086 | |
| Total Medicare payment per Day at DRG | $1,373 | |
| Total Medicare payment per Day with ICD R238 - Other skin changes | $1,622 | |
| Total Medicare payment per Hospitalization at DRG | $5,244 | |
| Total Medicare payment per Hospitalization with ICD R238 - Other skin changes | $4,965 | |
| Total Medicare Charges at DRG | $499,706,458 | |
| Total Medicare Charges with ICD R238 - Other skin changes | $2,144,001 | |
| Avg Charges at DRG | $25,296 | |
| Avg Charges with ICD R238 - Other skin changes | $18,973 | |
| Mortality Rate at DRG | 0.21 | |
| Mortality Rate with ICD R238 - Other skin changes | NA | |
| SNF Discharge Rate at DRG | 14.6 | |
| SNF Discharge Rate with ICD R238 - Other skin changes | 15.93 | |
| Home Discharge Rate at DRG | 57.87 | |
| Home Discharge Rate with ICD R238 - Other skin changes | 50.44 |
*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 885: PSYCHOSES | 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 R238 - Other skin changes | 1,338 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD R238 - Other skin changes in DRG | 8.17 | ||||
| Avg LOS at DRG | 3.97 | ||||
| Avg LOS with ICD R238 - Other skin changes | 4.95 | ||||
| Readmission Rate at DRG | 16.14 | ||||
| Readmission Rate with ICD R238 - Other skin changes | 16.35 | ||||
| Unplanned Readmission Rate at DRG | 10.98 | ||||
| Unplanned Readmission Rate with ICD R238 - Other skin changes | 10.8 | ||||
| Total Medicare payments at DRG | $1,924,528,848 | ||||
| Total Medicare payments with ICD R238 - Other skin changes | $7,838,047 | ||||
| Total Medicare payment per Day at DRG | $1,332 | ||||
| Total Medicare payment per Day with ICD R238 - Other skin changes | $1,183 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,281 | ||||
| Total Medicare payment per Hospitalization with ICD R238 - Other skin changes | $5,858 | ||||
| Total Medicare Charges at DRG | $8,912,106,420 | ||||
| Total Medicare Charges with ICD R238 - Other skin changes | $38,919,715 | ||||
| Avg Charges at DRG | $24,456 | ||||
| Avg Charges with ICD R238 - Other skin changes | $29,088 | ||||
| Mortality Rate at DRG | 0.09 | ||||
| Mortality Rate with ICD R238 - Other skin changes | NA | ||||
| SNF Discharge Rate at DRG | 15.72 | ||||
| SNF Discharge Rate with ICD R238 - Other skin changes | 21.45 | ||||
| Home Discharge Rate at DRG | 53.33 | ||||
| Home Discharge Rate with ICD R238 - Other skin changes | 39.24 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 602: CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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 | 422,757 | ||||
| Total Hospitalizations with ICD R238 - Other skin changes | 392 | ||||
| DRG Share of Total Hospitalizations | 1.29 | ||||
| % of Total ICD R238 - Other skin changes in DRG | 2.39 | ||||
| Avg LOS at DRG | 4.14 | ||||
| Avg LOS with ICD R238 - Other skin changes | 5.36 | ||||
| Readmission Rate at DRG | 24.43 | ||||
| Readmission Rate with ICD R238 - Other skin changes | 28.49 | ||||
| Unplanned Readmission Rate at DRG | 18.48 | ||||
| Unplanned Readmission Rate with ICD R238 - Other skin changes | 20.67 | ||||
| Total Medicare payments at DRG | $2,636,135,714 | ||||
| Total Medicare payments with ICD R238 - Other skin changes | $2,669,877 | ||||
| Total Medicare payment per Day at DRG | $1,507 | ||||
| Total Medicare payment per Day with ICD R238 - Other skin changes | $1,270 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,236 | ||||
| Total Medicare payment per Hospitalization with ICD R238 - Other skin changes | $6,811 | ||||
| Total Medicare Charges at DRG | $11,980,955,733 | ||||
| Total Medicare Charges with ICD R238 - Other skin changes | $12,455,770 | ||||
| Avg Charges at DRG | $28,340 | ||||
| Avg Charges with ICD R238 - Other skin changes | $31,775 | ||||
| Mortality Rate at DRG | 1.01 | ||||
| Mortality Rate with ICD R238 - Other skin changes | NA | ||||
| SNF Discharge Rate at DRG | 16.05 | ||||
| SNF Discharge Rate with ICD R238 - Other skin changes | 23.72 | ||||
| Home Discharge Rate at DRG | 47.18 | ||||
| Home Discharge Rate with ICD R238 - Other skin changes | 31.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 359,935 | ||||
| Total Hospitalizations with ICD R238 - Other skin changes | 259 | ||||
| DRG Share of Total Hospitalizations | 1.1 | ||||
| % of Total ICD R238 - Other skin changes in DRG | 1.58 | ||||
| Avg LOS at DRG | 12.3 | ||||
| Avg LOS with ICD R238 - Other skin changes | 17.86 | ||||
| Readmission Rate at DRG | 16.01 | ||||
| Readmission Rate with ICD R238 - Other skin changes | 18.8 | ||||
| Unplanned Readmission Rate at DRG | 9.86 | ||||
| Unplanned Readmission Rate with ICD R238 - Other skin changes | 13.68 | ||||
| Total Medicare payments at DRG | $5,883,826,653 | ||||
| Total Medicare payments with ICD R238 - Other skin changes | $5,629,819 | ||||
| Total Medicare payment per Day at DRG | $1,329 | ||||
| Total Medicare payment per Day with ICD R238 - Other skin changes | $1,217 | ||||
| Total Medicare payment per Hospitalization at DRG | $16,347 | ||||
| Total Medicare payment per Hospitalization with ICD R238 - Other skin changes | $21,737 | ||||
| Total Medicare Charges at DRG | $15,374,824,749 | ||||
| Total Medicare Charges with ICD R238 - Other skin changes | $13,718,080 | ||||
| Avg Charges at DRG | $42,716 | ||||
| Avg Charges with ICD R238 - Other skin changes | $52,966 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD R238 - Other skin changes | NA | ||||
| SNF Discharge Rate at DRG | 27.95 | ||||
| SNF Discharge Rate with ICD R238 - Other skin changes | 39.0 | ||||
| Home Discharge Rate at DRG | 26.85 | ||||
| Home Discharge Rate with ICD R238 - Other skin changes | 18.15 |
*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 300: PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 539,642 | ||||
| Total Hospitalizations with ICD R238 - Other skin changes | 190 | ||||
| DRG Share of Total Hospitalizations | 1.64 | ||||
| % of Total ICD R238 - Other skin changes in DRG | 1.16 | ||||
| Avg LOS at DRG | 6.42 | ||||
| Avg LOS with ICD R238 - Other skin changes | 16.28 | ||||
| Readmission Rate at DRG | 26.55 | ||||
| Readmission Rate with ICD R238 - Other skin changes | 36.21 | ||||
| Unplanned Readmission Rate at DRG | 20.01 | ||||
| Unplanned Readmission Rate with ICD R238 - Other skin changes | 25.86 | ||||
| Total Medicare payments at DRG | $5,267,842,463 | ||||
| Total Medicare payments with ICD R238 - Other skin changes | $2,791,586 | ||||
| Total Medicare payment per Day at DRG | $1,520 | ||||
| Total Medicare payment per Day with ICD R238 - Other skin changes | $902 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,762 | ||||
| Total Medicare payment per Hospitalization with ICD R238 - Other skin changes | $14,693 | ||||
| Total Medicare Charges at DRG | $25,503,568,329 | ||||
| Total Medicare Charges with ICD R238 - Other skin changes | $16,280,948 | ||||
| Avg Charges at DRG | $47,260 | ||||
| Avg Charges with ICD R238 - Other skin changes | $85,689 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD R238 - Other skin changes | NA | ||||
| SNF Discharge Rate at DRG | 19.26 | ||||
| SNF Discharge Rate with ICD R238 - Other skin changes | 35.26 | ||||
| Home Discharge Rate at DRG | 39.65 | ||||
| Home Discharge Rate with ICD R238 - Other skin changes | 15.26 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| HOSPITAL FOR SPECIAL SURGERY | 535 E 70TH ST | NEW YORK | NY | 10021 | 130 |
| WILKES-BARRE GENERAL HOSPITAL | 575 N RIVER ST | WILKES BARRE | PA | 18764 | 106 |
| ENCOMPASS HEALTH REHABILITATION HOSPITAL OF HENDERSON | 10301 JEFFREYS ST | HENDERSON | NV | 89052 | 61 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. JOSEPH M. GRAHAM | 444 FOUR STATES DR. | GALENA | KS | 66739 | 19 |
| Dr. JON CHRISTOPHER BANWART | 444 FOUR STATES DR SUITE 1 | GALENA | KS | 66739 | 14 |
| Dr. JOHN T OGDEN | 444 FOUR STATES DR | GALENA | KS | 66739 | 12 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. MINH H NGUYEN | 6955 N DURANGO DR | LAS VEGAS | NV | 89149 | 49 |
| Dr. MATTHEW JOHN MEE | 6501 N CHARLES ST | BALTIMORE | MD | 21204 | 36 |
| Dr. SUSAN DEPOLITI TOWER | 613 ELIZABETH ST STE 203 | CORPUS CHRISTI | TX | 78404 | 28 |