| 70700 - Pressure ulcer, unspecified site - as a primary diagnosis code | 70700 - Pressure ulcer, unspecified site - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.02 | |
| Readmission Rate (%) | 30.48 | |
| 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 | ||
| DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 593: SKIN ULCERS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|
| Total Hospitalizations at DRG | 18,315 | |
| Total Hospitalizations with ICD 70700 - Pressure ulcer, unspecified site | 29 | |
| DRG Share of Total Hospitalizations | 0.08 | |
| % of Total ICD 70700 - Pressure ulcer, unspecified site in DRG | 42.65 | |
| Avg LOS at DRG | 14.28 | |
| Avg LOS with ICD 70700 - Pressure ulcer, unspecified site | 13.97 | |
| Readmission Rate at DRG | 31.56 | |
| Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | NA | |
| Unplanned Readmission Rate at DRG | 17.73 | |
| Unplanned Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | NA | |
| Total Medicare payments at DRG | $298,666,942 | |
| Total Medicare payments with ICD 70700 - Pressure ulcer, unspecified site | $435,939 | |
| Total Medicare payment per Day at DRG | $1,142 | |
| Total Medicare payment per Day with ICD 70700 - Pressure ulcer, unspecified site | $1,076 | |
| Total Medicare payment per Hospitalization at DRG | $16,307 | |
| Total Medicare payment per Hospitalization with ICD 70700 - Pressure ulcer, unspecified site | $15,032 | |
| Total Medicare Charges at DRG | $1,122,285,198 | |
| Total Medicare Charges with ICD 70700 - Pressure ulcer, unspecified site | $2,292,111 | |
| Avg Charges at DRG | $61,277 | |
| Avg Charges with ICD 70700 - Pressure ulcer, unspecified site | $79,038 | |
| Mortality Rate at DRG | 5.84 | |
| Mortality Rate with ICD 70700 - Pressure ulcer, unspecified site | NA | |
| SNF Discharge Rate at DRG | 38.38 | |
| SNF Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | NA | |
| Home Discharge Rate at DRG | 9.8 | |
| Home Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | NA |
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 945: REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 70700 - Pressure ulcer, unspecified site | 2,424 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 70700 - Pressure ulcer, unspecified site in DRG | 14.8 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 70700 - Pressure ulcer, unspecified site | 6.78 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 29.8 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 19.49 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 70700 - Pressure ulcer, unspecified site | $30,421,759 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 70700 - Pressure ulcer, unspecified site | $1,851 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 70700 - Pressure ulcer, unspecified site | $12,550 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 70700 - Pressure ulcer, unspecified site | $131,019,704 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 70700 - Pressure ulcer, unspecified site | $54,051 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 70700 - Pressure ulcer, unspecified site | 23.68 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 32.67 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 7.14 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 70700 - Pressure ulcer, unspecified site | 391 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 70700 - Pressure ulcer, unspecified site in DRG | 2.39 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 70700 - Pressure ulcer, unspecified site | 6.52 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 28.49 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 16.32 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 70700 - Pressure ulcer, unspecified site | $3,554,923 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 70700 - Pressure ulcer, unspecified site | $1,395 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 70700 - Pressure ulcer, unspecified site | $9,092 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 70700 - Pressure ulcer, unspecified site | $15,668,417 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 70700 - Pressure ulcer, unspecified site | $40,073 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 70700 - Pressure ulcer, unspecified site | 12.02 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 30.18 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 13.3 |
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 311,763 | ||||
| Total Hospitalizations with ICD 70700 - Pressure ulcer, unspecified site | 296 | ||||
| DRG Share of Total Hospitalizations | 1.36 | ||||
| % of Total ICD 70700 - Pressure ulcer, unspecified site in DRG | 1.81 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD 70700 - Pressure ulcer, unspecified site | 4.95 | ||||
| Readmission Rate at DRG | 23.41 | ||||
| Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 23.67 | ||||
| Unplanned Readmission Rate at DRG | 16.67 | ||||
| Unplanned Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 16.96 | ||||
| Total Medicare payments at DRG | $1,867,955,174 | ||||
| Total Medicare payments with ICD 70700 - Pressure ulcer, unspecified site | $1,799,724 | ||||
| Total Medicare payment per Day at DRG | $1,382 | ||||
| Total Medicare payment per Day with ICD 70700 - Pressure ulcer, unspecified site | $1,228 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,992 | ||||
| Total Medicare payment per Hospitalization with ICD 70700 - Pressure ulcer, unspecified site | $6,080 | ||||
| Total Medicare Charges at DRG | $8,358,483,119 | ||||
| Total Medicare Charges with ICD 70700 - Pressure ulcer, unspecified site | $8,936,935 | ||||
| Avg Charges at DRG | $26,810 | ||||
| Avg Charges with ICD 70700 - Pressure ulcer, unspecified site | $30,192 | ||||
| Mortality Rate at DRG | 1.37 | ||||
| Mortality Rate with ICD 70700 - Pressure ulcer, unspecified site | NA | ||||
| SNF Discharge Rate at DRG | 23.3 | ||||
| SNF Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 44.93 | ||||
| Home Discharge Rate at DRG | 45.55 | ||||
| Home Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 15.54 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 414,616 | ||||
| Total Hospitalizations with ICD 70700 - Pressure ulcer, unspecified site | 227 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 70700 - Pressure ulcer, unspecified site in DRG | 1.39 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 70700 - Pressure ulcer, unspecified site | 5.0 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 31.75 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 70700 - Pressure ulcer, unspecified site | 22.75 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 70700 - Pressure ulcer, unspecified site | $1,477,410 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 70700 - Pressure ulcer, unspecified site | $1,302 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 70700 - Pressure ulcer, unspecified site | $6,508 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 70700 - Pressure ulcer, unspecified site | $6,625,866 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 70700 - Pressure ulcer, unspecified site | $29,189 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 70700 - Pressure ulcer, unspecified site | 5.29 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 35.68 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 70700 - Pressure ulcer, unspecified site | 16.3 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| LAFAYETTE GENERAL MEDICAL CENTER | 1214 COOLIDGE AVE. | LAFAYETTE | LA | 70503 | 77 |
| PIKEVILLE MEDICAL CENTER | 911 BYPASS RD | PIKEVILLE | KY | 41501 | 62 |
| ST. JUDE MEDICAL CENTER | 2767 E IMPERIAL HWY | BREA | CA | 92821 | 62 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. OMAR ALBERTO COLON GUTIERREZ | 2800 W 15TH ST | PLANO | TX | 75075 | 24 |
| Dr. MICHAEL S BASCH | 41593 WINCHESTER RD STE 101 | TEMECULA | CA | 92590 | 14 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 14 |