| 70721 - Pressure ulcer, stage I - as a primary or secondary diagnosis code | ||
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | ||
| Readmission Rate (%) | ||
| Unplanned Readmission Rate (%) | 18.49 | |
| 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 177: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 901,552 | ||||
| Total Hospitalizations with ICD 70721 - Pressure ulcer, stage I | 12,996 | ||||
| DRG Share of Total Hospitalizations | 3.95 | ||||
| % of Total ICD 70721 - Pressure ulcer, stage I in DRG | 11.6 | ||||
| Avg LOS at DRG | 6.79 | ||||
| Avg LOS with ICD 70721 - Pressure ulcer, stage I | 7.75 | ||||
| Readmission Rate at DRG | 25.38 | ||||
| Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 28.35 | ||||
| Unplanned Readmission Rate at DRG | 17.1 | ||||
| Unplanned Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 19.73 | ||||
| Total Medicare payments at DRG | $11,142,976,193 | ||||
| Total Medicare payments with ICD 70721 - Pressure ulcer, stage I | $172,866,429 | ||||
| Total Medicare payment per Day at DRG | $1,821 | ||||
| Total Medicare payment per Day with ICD 70721 - Pressure ulcer, stage I | $1,717 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,360 | ||||
| Total Medicare payment per Hospitalization with ICD 70721 - Pressure ulcer, stage I | $13,302 | ||||
| Total Medicare Charges at DRG | $48,288,426,708 | ||||
| Total Medicare Charges with ICD 70721 - Pressure ulcer, stage I | $747,524,273 | ||||
| Avg Charges at DRG | $53,561 | ||||
| Avg Charges with ICD 70721 - Pressure ulcer, stage I | $57,520 | ||||
| Mortality Rate at DRG | 15.16 | ||||
| Mortality Rate with ICD 70721 - Pressure ulcer, stage I | 14.8 | ||||
| SNF Discharge Rate at DRG | 28.41 | ||||
| SNF Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 40.85 | ||||
| Home Discharge Rate at DRG | 23.21 | ||||
| Home Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 8.06 |
| 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 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 417,322 | ||||
| Total Hospitalizations with ICD 70721 - Pressure ulcer, stage I | 2,665 | ||||
| DRG Share of Total Hospitalizations | 1.83 | ||||
| % of Total ICD 70721 - Pressure ulcer, stage I in DRG | 2.38 | ||||
| Avg LOS at DRG | 5.93 | ||||
| Avg LOS with ICD 70721 - Pressure ulcer, stage I | 7.48 | ||||
| Readmission Rate at DRG | 28.69 | ||||
| Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 29.88 | ||||
| Unplanned Readmission Rate at DRG | 21.75 | ||||
| Unplanned Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 22.11 | ||||
| Total Medicare payments at DRG | $4,026,370,259 | ||||
| Total Medicare payments with ICD 70721 - Pressure ulcer, stage I | $28,921,325 | ||||
| Total Medicare payment per Day at DRG | $1,626 | ||||
| Total Medicare payment per Day with ICD 70721 - Pressure ulcer, stage I | $1,450 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,648 | ||||
| Total Medicare payment per Hospitalization with ICD 70721 - Pressure ulcer, stage I | $10,852 | ||||
| Total Medicare Charges at DRG | $17,296,169,702 | ||||
| Total Medicare Charges with ICD 70721 - Pressure ulcer, stage I | $139,150,839 | ||||
| Avg Charges at DRG | $41,446 | ||||
| Avg Charges with ICD 70721 - Pressure ulcer, stage I | $52,214 | ||||
| Mortality Rate at DRG | 5.62 | ||||
| Mortality Rate with ICD 70721 - Pressure ulcer, stage I | 9.87 | ||||
| SNF Discharge Rate at DRG | 23.05 | ||||
| SNF Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 41.73 | ||||
| Home Discharge Rate at DRG | 34.75 | ||||
| Home Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 11.63 |
| DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) | DRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 368,552 | ||||
| Total Hospitalizations with ICD 70721 - Pressure ulcer, stage I | 2,061 | ||||
| DRG Share of Total Hospitalizations | 1.61 | ||||
| % of Total ICD 70721 - Pressure ulcer, stage I in DRG | 1.84 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD 70721 - Pressure ulcer, stage I | 5.93 | ||||
| Readmission Rate at DRG | 18.07 | ||||
| Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 21.71 | ||||
| Unplanned Readmission Rate at DRG | 12.45 | ||||
| Unplanned Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 15.07 | ||||
| Total Medicare payments at DRG | $2,243,342,846 | ||||
| Total Medicare payments with ICD 70721 - Pressure ulcer, stage I | $14,673,025 | ||||
| Total Medicare payment per Day at DRG | $1,376 | ||||
| Total Medicare payment per Day with ICD 70721 - Pressure ulcer, stage I | $1,201 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,087 | ||||
| Total Medicare payment per Hospitalization with ICD 70721 - Pressure ulcer, stage I | $7,119 | ||||
| Total Medicare Charges at DRG | $9,706,587,516 | ||||
| Total Medicare Charges with ICD 70721 - Pressure ulcer, stage I | $69,369,695 | ||||
| Avg Charges at DRG | $26,337 | ||||
| Avg Charges with ICD 70721 - Pressure ulcer, stage I | $33,658 | ||||
| Mortality Rate at DRG | 1.44 | ||||
| Mortality Rate with ICD 70721 - Pressure ulcer, stage I | 3.06 | ||||
| SNF Discharge Rate at DRG | 19.19 | ||||
| SNF Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 43.77 | ||||
| Home Discharge Rate at DRG | 50.54 | ||||
| Home Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 16.01 |
| DRG 178: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 603: CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 102,413 | ||||
| Total Hospitalizations with ICD 70721 - Pressure ulcer, stage I | 1,452 | ||||
| DRG Share of Total Hospitalizations | 0.45 | ||||
| % of Total ICD 70721 - Pressure ulcer, stage I in DRG | 1.3 | ||||
| Avg LOS at DRG | 6.1 | ||||
| Avg LOS with ICD 70721 - Pressure ulcer, stage I | 6.79 | ||||
| Readmission Rate at DRG | 22.78 | ||||
| Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 23.36 | ||||
| Unplanned Readmission Rate at DRG | 16.22 | ||||
| Unplanned Readmission Rate with ICD 70721 - Pressure ulcer, stage I | 17.59 | ||||
| Total Medicare payments at DRG | $916,696,949 | ||||
| Total Medicare payments with ICD 70721 - Pressure ulcer, stage I | $14,081,407 | ||||
| Total Medicare payment per Day at DRG | $1,468 | ||||
| Total Medicare payment per Day with ICD 70721 - Pressure ulcer, stage I | $1,428 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,951 | ||||
| Total Medicare payment per Hospitalization with ICD 70721 - Pressure ulcer, stage I | $9,698 | ||||
| Total Medicare Charges at DRG | $3,864,409,951 | ||||
| Total Medicare Charges with ICD 70721 - Pressure ulcer, stage I | $61,389,965 | ||||
| Avg Charges at DRG | $37,734 | ||||
| Avg Charges with ICD 70721 - Pressure ulcer, stage I | $42,280 | ||||
| Mortality Rate at DRG | 2.77 | ||||
| Mortality Rate with ICD 70721 - Pressure ulcer, stage I | 3.51 | ||||
| SNF Discharge Rate at DRG | 31.61 | ||||
| SNF Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 44.42 | ||||
| Home Discharge Rate at DRG | 29.31 | ||||
| Home Discharge Rate with ICD 70721 - Pressure ulcer, stage I | 11.91 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| CONEY ISLAND HOSPITAL | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 1,077 |
| RARITAN BAY MEDICAL CENTER PERTH AMBOY DIVISION | 530 NEW BRUNSWICK AVE | PERTH AMBOY | NJ | 08861 | 737 |
| NEW YORK-PRESBYTERIAN BROOKLYN METHODIST HOSPITAL | 506 6TH ST | BROOKLYN | NY | 11215 | 653 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. THIRUVOIPATI NANDAKUMAR | 2801 EUREKA WAY | REDDING | CA | 96001 | 102 |
| Dr. GREGORY GOIKHBERG | 2601 OCEAN PKWY | BROOKLYN | NY | 11235 | 97 |
| Dr. NATALYA KOZLOV | 501 SURF AVE # B | BROOKLYN | NY | 11224 | 73 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Jan 2013 to Dec 2014 ) |
|---|---|---|---|---|---|
| Dr. ELIE FTEHA | 359 AVENUE U | BROOKLYN | NY | 11223 | 195 |
| Dr. RAJESH AGARWAL | 6770 MAYFIELD RD | MAYFIELD HEIGHTS | OH | 44124 | 163 |
| Dr. SAMIR G PATEL | 2 AMERICAN WAY STE 3 | SPOTSWOOD | NJ | 08884 | 118 |