| 70720 - Pressure ulcer, unspecified stage - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.98 | |
| 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 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 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 | 901,552 | ||||
| Total Hospitalizations with ICD 70720 - Pressure ulcer, unspecified stage | 15,233 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 70720 - Pressure ulcer, unspecified stage in DRG | 12.29 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 70720 - Pressure ulcer, unspecified stage | 7.21 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 30.22 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 19.48 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 70720 - Pressure ulcer, unspecified stage | $189,680,027 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 70720 - Pressure ulcer, unspecified stage | $1,727 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 70720 - Pressure ulcer, unspecified stage | $12,452 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 70720 - Pressure ulcer, unspecified stage | $824,529,669 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 70720 - Pressure ulcer, unspecified stage | $54,128 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 70720 - Pressure ulcer, unspecified stage | 20.23 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 34.44 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 7.67 |
| DRG 291: HEART FAILURE AND SHOCK 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) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 70720 - Pressure ulcer, unspecified stage | 2,504 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 70720 - Pressure ulcer, unspecified stage in DRG | 2.02 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 70720 - Pressure ulcer, unspecified stage | 7.1 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 32.16 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 22.41 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 70720 - Pressure ulcer, unspecified stage | $25,280,557 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 70720 - Pressure ulcer, unspecified stage | $1,422 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 70720 - Pressure ulcer, unspecified stage | $10,096 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 70720 - Pressure ulcer, unspecified stage | $122,693,807 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 70720 - Pressure ulcer, unspecified stage | $48,999 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 70720 - Pressure ulcer, unspecified stage | 10.38 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 37.5 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 12.26 |
| DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 296,720 | ||||
| Total Hospitalizations with ICD 70720 - Pressure ulcer, unspecified stage | 2,120 | ||||
| DRG Share of Total Hospitalizations | 1.3 | ||||
| % of Total ICD 70720 - Pressure ulcer, unspecified stage in DRG | 1.71 | ||||
| Avg LOS at DRG | 5.98 | ||||
| Avg LOS with ICD 70720 - Pressure ulcer, unspecified stage | 6.95 | ||||
| Readmission Rate at DRG | 24.04 | ||||
| Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 29.98 | ||||
| Unplanned Readmission Rate at DRG | 17.42 | ||||
| Unplanned Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 20.46 | ||||
| Total Medicare payments at DRG | $2,681,981,318 | ||||
| Total Medicare payments with ICD 70720 - Pressure ulcer, unspecified stage | $20,495,726 | ||||
| Total Medicare payment per Day at DRG | $1,513 | ||||
| Total Medicare payment per Day with ICD 70720 - Pressure ulcer, unspecified stage | $1,390 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,039 | ||||
| Total Medicare payment per Hospitalization with ICD 70720 - Pressure ulcer, unspecified stage | $9,668 | ||||
| Total Medicare Charges at DRG | $11,896,768,371 | ||||
| Total Medicare Charges with ICD 70720 - Pressure ulcer, unspecified stage | $94,059,821 | ||||
| Avg Charges at DRG | $40,094 | ||||
| Avg Charges with ICD 70720 - Pressure ulcer, unspecified stage | $44,368 | ||||
| Mortality Rate at DRG | 5.39 | ||||
| Mortality Rate with ICD 70720 - Pressure ulcer, unspecified stage | 11.37 | ||||
| SNF Discharge Rate at DRG | 23.54 | ||||
| SNF Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 34.53 | ||||
| Home Discharge Rate at DRG | 38.6 | ||||
| Home Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 13.73 |
| DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 592: SKIN ULCERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 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 70720 - Pressure ulcer, unspecified stage | 1,648 | ||||
| DRG Share of Total Hospitalizations | 1.81 | ||||
| % of Total ICD 70720 - Pressure ulcer, unspecified stage in DRG | 1.33 | ||||
| Avg LOS at DRG | 4.4 | ||||
| Avg LOS with ICD 70720 - Pressure ulcer, unspecified stage | 5.49 | ||||
| Readmission Rate at DRG | 25.69 | ||||
| Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 30.88 | ||||
| Unplanned Readmission Rate at DRG | 19.35 | ||||
| Unplanned Readmission Rate with ICD 70720 - Pressure ulcer, unspecified stage | 22.16 | ||||
| Total Medicare payments at DRG | $2,579,957,747 | ||||
| Total Medicare payments with ICD 70720 - Pressure ulcer, unspecified stage | $11,234,200 | ||||
| Total Medicare payment per Day at DRG | $1,415 | ||||
| Total Medicare payment per Day with ICD 70720 - Pressure ulcer, unspecified stage | $1,243 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,223 | ||||
| Total Medicare payment per Hospitalization with ICD 70720 - Pressure ulcer, unspecified stage | $6,817 | ||||
| Total Medicare Charges at DRG | $11,090,898,185 | ||||
| Total Medicare Charges with ICD 70720 - Pressure ulcer, unspecified stage | $48,922,049 | ||||
| Avg Charges at DRG | $26,750 | ||||
| Avg Charges with ICD 70720 - Pressure ulcer, unspecified stage | $29,686 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD 70720 - Pressure ulcer, unspecified stage | 3.82 | ||||
| SNF Discharge Rate at DRG | 17.4 | ||||
| SNF Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 38.29 | ||||
| Home Discharge Rate at DRG | 45.44 | ||||
| Home Discharge Rate with ICD 70720 - Pressure ulcer, unspecified stage | 19.36 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| ADVENTHEALTH ORLANDO | 601 E ROLLINS ST | ORLANDO | FL | 32803 | 406 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 315 |
| METHODIST CHARLTON MEDICAL CENTER | 3500 W WHEATLAND RD | DALLAS | TX | 75237 | 294 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. JOHN HUNTER SAMIES | 2850 JACKSON DR. | ORANGEBURG | SC | 29118 | 55 |
| Dr. RONALD REISMAN | 8050 TOWNSHIP LINE RD | INDIANAPOLIS | IN | 46260 | 47 |
| Dr. RICHMOND L ALEXANDER | 2024 15TH ST | MERIDIAN | MS | 39301 | 34 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 67 |
| Dr. DANIEL ADAM PICARD | 2815 S SEACREST BLVD | BOYNTON BEACH | FL | 33435 | 65 |
| Dr. LEONARD EUGENE ELLISON | 17330 NORTHLAND PARK CT | SOUTHFIELD | MI | 48075 | 61 |