*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z4800 - Encounter for change or removal of nonsurgical wound dressing - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 13.75 | |
| 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 885: PSYCHOSES | DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 199 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing in DRG | 10.08 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 13.35 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 28.72 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 8.51 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $1,857,092 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $699 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $9,332 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $4,388,487 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $22,053 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 8.54 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 79.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 570: SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 48 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing in DRG | 2.43 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 8.27 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $578,256 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $1,457 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $12,047 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $3,012,521 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $62,761 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 25.0 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 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 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 24,286 | ||||
| Total Hospitalizations with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 34 | ||||
| DRG Share of Total Hospitalizations | 0.07 | ||||
| % of Total ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing in DRG | 1.72 | ||||
| Avg LOS at DRG | 12.57 | ||||
| Avg LOS with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 30.94 | ||||
| Readmission Rate at DRG | 30.43 | ||||
| Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Unplanned Readmission Rate at DRG | 19.44 | ||||
| Unplanned Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Total Medicare payments at DRG | $340,052,154 | ||||
| Total Medicare payments with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $809,614 | ||||
| Total Medicare payment per Day at DRG | $1,114 | ||||
| Total Medicare payment per Day with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $770 | ||||
| Total Medicare payment per Hospitalization at DRG | $14,002 | ||||
| Total Medicare payment per Hospitalization with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $23,812 | ||||
| Total Medicare Charges at DRG | $1,599,050,306 | ||||
| Total Medicare Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $5,540,319 | ||||
| Avg Charges at DRG | $65,842 | ||||
| Avg Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $162,951 | ||||
| Mortality Rate at DRG | 4.97 | ||||
| Mortality Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 39.28 | ||||
| SNF Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 50.0 | ||||
| Home Discharge Rate at DRG | 11.17 | ||||
| Home Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 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 539: OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | DRG 638: DIABETES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 947: SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 18,679 | ||||
| Total Hospitalizations with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 29 | ||||
| DRG Share of Total Hospitalizations | 0.06 | ||||
| % of Total ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing in DRG | 1.47 | ||||
| Avg LOS at DRG | 16.44 | ||||
| Avg LOS with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 25.07 | ||||
| Readmission Rate at DRG | 31.81 | ||||
| Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Unplanned Readmission Rate at DRG | 18.54 | ||||
| Unplanned Readmission Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| Total Medicare payments at DRG | $375,327,933 | ||||
| Total Medicare payments with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $781,963 | ||||
| Total Medicare payment per Day at DRG | $1,222 | ||||
| Total Medicare payment per Day with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $1,076 | ||||
| Total Medicare payment per Hospitalization at DRG | $20,094 | ||||
| Total Medicare payment per Hospitalization with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $26,964 | ||||
| Total Medicare Charges at DRG | $1,758,411,565 | ||||
| Total Medicare Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $4,051,861 | ||||
| Avg Charges at DRG | $94,138 | ||||
| Avg Charges with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | $139,719 | ||||
| Mortality Rate at DRG | 3.82 | ||||
| Mortality Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA | ||||
| SNF Discharge Rate at DRG | 36.02 | ||||
| SNF Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | 41.38 | ||||
| Home Discharge Rate at DRG | 13.69 | ||||
| Home Discharge Rate with ICD Z4800 - Encounter for change or removal of nonsurgical wound dressing | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| VIBRA HOSPITAL OF CHARLESTON | 1200 HOSPITAL DR | MT PLEASANT | SC | 29464 | 189 |
| BAPTIST HOSPITAL | 1000 WEST MORENO STREET | PENSACOLA | FL | 32501 | 77 |
| VANTAGE POINT OF NORTHWEST ARKANSAS | 4253 N. CROSSOVER RD. | FAYETTEVILLE | AR | 72703 | 76 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. ROBERT BRADLEY SAPP | 9330 MEDICAL PLAZA DR | CHARLESTON | SC | 29406 | 50 |
| Dr. KURT E. JACOBSON | 6262 VETERANS PKWY | COLUMBUS | GA | 31909 | 22 |
| Dr. BRYANT LE VUONG | 2776 CLEVELAND AVE | FORT MYERS | FL | 33901 | 22 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. STEPHEN COLLIER DOLLINS | 324 N 2ND ST | ROGERS | AR | 72756 | 70 |
| Dr. JUSTIN MICHAEL GARZONE | 1200 HOSPITAL DR | MOUNT PLEASANT | SC | 29464 | 65 |
| Dr. ROBERT BRADLEY SAPP | 9330 MEDICAL PLAZA DR | CHARLESTON | SC | 29406 | 57 |